Unknown Individual – Clinical Pathology Physician, NPI 1487980512

Unknown Individual is a healthcare provider. based in West bloomfield, Michigan. specializing in Clinical Pathology Physician. They hold a License No. 4301022365 (MI). The NPI Number for Unknown Individual is 1487980512

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1487980512
Phone
(248) 788-9569
Address
6560 PLEASANT LAKE CT
Deactivation Date
12 December 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 6560, Pleasant Lake Court, The Pointe on Pleasant Lake, West Bloomfield Township, Oakland County, Michigan, 48322, United States

    WEST BLOOMFIELD, MI 483224708

    Phone: (248) 788-9569

    Fax: (248) 788-9569

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 48322)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1487980512.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Clinical Pathology Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to West Bloomfield, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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