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PATHOLOGY ASSOCIATES OF GRAND RAPIDS P.C. NPI 1184636821


NPI Information

NPI: 1184636821
Provider Name: PATHOLOGY ASSOCIATES OF GRAND RAPIDS, P.C.
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

Address:
200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 364-6700
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PATHOLOGY ASSOCIATES OF GRAND RAPIDS, P.C. is an anatomic pathology and clinical pathology pathology in Grand Rapids, MI. The provider is 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, exclusion and monitoring of disease. PATHOLOGY ASSOCIATES OF GRAND RAPIDS, P.C. NPI is 1184636821. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 364-6700
Fax: (616) 364-4960

The provider's authorized official is Sarat C Khandavalli .
The authorized official title is President and has the following contact phone number (616) 252-7249.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 6/1/2020.


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 PathologyYes

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
11295996916MEDICAIDMICHIGAN

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: 11/14/2023

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