Individual provider · Type 1 NPI
Matthew Cusick, PhD
Clinical Laboratory Director (Non-physician) · Dexter, MI
NPI number
1215890207
Active
Practice location
11367 Castleton Ct
Dexter, MI 48130-8432
Other practice locations
- 2800 Plymouth Rd Bldg 36, Ann Arbor, MI 48109-2800 · (734) 764-0519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | None listed |
Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
About NPI 1215890207
Matthew Cusick, PhD's National Provider Identifier is 1215890207, issued on Dec 5, 2025. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Dexter, MI. The record was last updated on Dec 5, 2025.