Organization · Type 2 NPI
Pathology Laboratory, P.c.
Clinical Medical Laboratory · Grand Rapids, MI
Practice location
2620 Horizon Drive SE, Suite 100
Grand Rapids, MI 49546-7936
Fax (616) 530-0575
Mailing address
2620 Horizon Dr SE, Suite 100
Grand Rapids, MI 49546-7520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 23D0380021 (MI) |
| Clinical Medical Laboratory Primary | 291U00000X | 23D0380021 (MI) |
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 det…
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About NPI 1285618447
Pathology Laboratory, P.c.'s National Provider Identifier is 1285618447, issued on Dec 1, 2005. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 23, 2014.