PATHOLOGY LABORATORY, P.C. (NPI# 1285618447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285618447 |
| Entity Type | Organization |
| Organization Name | PATHOLOGY LABORATORY, P.C. |
| Other Organization Name | PATHOLOGY LABORATORY, P.C. |
| Practice Address |
2620 Horizon Drive Se Suite 100 Grand Rapids MI 49546-7936 |
| Mailing Address |
2620 Horizon Dr Se Suite 100 Grand Rapids MI 49546-7520 |
| Practice Telephone | 6165303344 |
| Practice Fax Number | 6165300575 |
| Mailing Telephone | 6165303344 |
| Mailing Fax Number | 6165300575 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2014-06-23 |
| Authorized Official Name | DR. KIM A. MILLS (PRESIDENT) |
| Authorized Official Telephone | 6165303344 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
23D0380021 | MI | Allopathic & Osteopathic Physicians |
| Y | 291U00000X | Clinical Medical Laboratory | 23D0380021 | MI | Laboratories |
| Other Name | Type Code |
|---|---|
| PATHOLOGY LABORATORY, P.C. | Doing Business As Name - Organization |
| Street Address |
2620 HORIZON DRIVE SE SUITE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-7936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407156052 | Spectrum Health Primary Care Partners | Clinical Medical Laboratory | 1040 Monroe Ave Nw, Grand Rapids, MI 49503 | 2010-10-29 |
| 1760557375 | Cascade Medical Testing Lab, Inc. | Clinical Medical Laboratory | 2251 E Paris Ave Se, Grand Rapids, MI 49546-2431 | 2006-11-21 |
| 1982660734 | Kent Pathology Laboratory Pllc | Clinical Medical Laboratory | 2650 Horizon Dr Se, Suite B, Grand Rapids, MI 49546-7519 | 2006-04-21 |
| 1669840674 | Immucor Gti Diagnostics, Inc. | Clinical Medical Laboratory | 301 Michigan St Ne, Suite 580, Grand Rapids, MI 49503-3314 | 2015-09-08 |
| 1326484569 | Nxgen Mdx, LLC | Clinical Medical Laboratory | 801 Broadway Ave Nw, Suite 203, Grand Rapids, MI 49504-4462 | 2013-05-15 |
| 1619232204 | Arcticax Us Ltd | Clinical Medical Laboratory | 801 Broadway Ave Nw, Suite 303, Grand Rapids, MI 49504-4462 | 2012-07-10 |
| 1467723502 | Universal Dermatopathology Lab, Pllc | Clinical Medical Laboratory | 2650 Horizon Dr Se, Suite 233, Grand Rapids, MI 49546-7519 | 2012-01-20 |
| 1215236369 | Keri Topouzian, Do PC | Clinical Medical Laboratory | 1000 E Paris Ave Se, Suite 138, Grand Rapids, MI 49546-3691 | 2011-03-15 |
| 1902111479 | Spectrum Health Primary Care Partners | Clinical Medical Laboratory | 1140 Monroe Ave Nw, Suite 4102, Grand Rapids, MI 49503-1055 | 2010-08-09 |
| 1528205028 | Sequenom Center for Molecular Medicine LLC | Clinical Medical Laboratory | 301 Michigan St Ne Ste 580, Grand Rapids, MI 49503-3314 | 2009-01-21 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on PATHOLOGY LABORATORY, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.