PCI – Anatomic Pathology & Clinical Pathology Physician, NPI 1972596864
Anatomic Pathology & Clinical Pathology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PCI
425 JOLIET ST STE 323
DYER, IN 463111767
Phone: (219) 873-3130
Fax: (219) 359-2232
Type: Location
113, East 4th Street, Michigan City, LaPorte County, Indiana, 46360, United States
MICHIGAN CITY, IN 463603301
Phone: (219) 879-2208
Fax: (219) 873-3130
Type: Mailing
5700 SOUTHWYCK BLVD
TOLEDO, OH 436141509
Phone: (800) 288-8325
Fax: (419) 866-5453
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-01-09
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46311)
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