Organization · Type 2 NPI

W.a. Foote Memorial Hospital

Clinical Pathology Physician · Jackson, MI

NPI number 1144784448 Active

Practice location

205 N East Ave
Jackson, MI 49201-1753

Call (517) 205-3867 Map

Fax (517) 803-2133

Mailing address

PO Box 670884
Detroit, MI 48267-2728

Specialties and licenses

Taxonomy	Code	License
Clinical Pathology Physician Primary	207ZC0006X	None listed

Clinical Pathology Physician: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, ex…

620 other providers at this address

NPI record

NPI: 1144784448
Entity type: Organization (Type 2)
Issued: Jan 31, 2019
Last updated: Oct 22, 2026
Status: Active

Other names

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Henry Ford Allegiance Health · doing business as
Henry Ford Allegiance Health · doing business as
Henry Ford Jackson Health · doing business as

Authorized official

Kimberly Cebalt
Director
(313) 874-6764

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144784448

W.a. Foote Memorial Hospital's National Provider Identifier is 1144784448, issued on Jan 31, 2019. The primary taxonomy on file is Clinical Pathology Physician (207ZC0006X), and the practice location is in Jackson, MI. The record was last updated on Oct 22, 2026.