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PATHOLOGY LABORATORY P.C. NPI 1285618447


NPI Information

NPI: 1285618447
Provider Name: PATHOLOGY LABORATORY, P.C.

Doing Business As: PATHOLOGY LABORATORY, P.C.

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 23D0380021

Address:
2620 HORIZON DRIVE SE
SUITE 100
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 530-3344
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PATHOLOGY LABORATORY, P.C. is a clinical medical laboratory in Grand Rapids, MI. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. PATHOLOGY LABORATORY, P.C. NPI is 1285618447. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pathology Laboratory, P.c..

The provider's business location address is:

2620 HORIZON DRIVE SE
SUITE 100
GRAND RAPIDS, MI
ZIP 49546-936
Phone: (616) 530-3344
Fax: (616) 530-0575

The provider's authorized official is Kim A. Mills .
The authorized official title is President and has the following contact phone number (616) 530-3344.

The CLIA number assigned to this NPI record is 23D0380021 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 6/23/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology23D0380021MICHIGANNo
2291U00000XClinical Medical Laboratory23D0380021MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OP30660MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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