NPI 1285618447

Pathology Laboratory, P.C.

Organisation Clinical Medical Laboratory Grand Rapids, MI

Practice location

Address: 2620 Horizon Drive SE Suite 100, Grand Rapids, MI 49546-7936
Phone: (616) 530-3344
Fax: (616) 530-0575
Mailing address: 2620 Horizon Dr SE Suite 100, Grand Rapids, MI 49546-7520

Authorised official

Name: Kim A. Mills
Title: President
Phone: (616) 530-3344

Registered specialties (2)

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 23D0380021 (MI)

Other Clinical Medical Laboratory providers in Michigan →

Anatomic Pathology & Clinical Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 23D0380021 (MI)

Other Pathology providers in Michigan →

Registry record

NPI: 1285618447
Entity type: Organization
NPI issued: 1 Dec 2005
Record last updated: 23 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.