Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pathology Specialists of Southeast Michigan PC

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1023100500

Pathology Specialists of Southeast Michigan PC is an Anatomic Pathology & Clinical Pathology Physician in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (800) 288-8325
Fax: (419) 866-5453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 403788 (MI)

Record details

NPI number1023100500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Basim Al-Khafaji — President · (313) 343-3521
NPI enumeratedSeptember 29, 2006
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing addressPo Box 72572, Cleveland, OH 44192-0002

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