Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pathology Associates of Grand Rapids, PC

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1184636821

Pathology Associates of Grand Rapids, PC is an Anatomic Pathology & Clinical Pathology Physician in Grand Rapids, Michigan. Works from 3 locations. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone: (616) 364-6700
Fax: (616) 364-4960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 — (877) 378-4293
  • 2122 Health Dr Sw, Wyoming, MI 49519-9698 — (616) 252-7151

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X

Record details

NPI number1184636821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarat Khandavalli — President · (616) 252-7249
NPI enumeratedAugust 12, 2006
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing addressPo Box 9186, Longview, TX 75608-9186

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