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

Pathology Laboratory, PC

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1285618447

Pathology Laboratory, PC is an Anatomic Pathology & Clinical Pathology Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
Specialties on file
2
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

2620 Horizon Dr SE Ste 100
Grand Rapids, MI 49546-7936
Phone: (616) 530-3344
Fax: (616) 530-0575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 23D0380021 (MI)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 23D0380021 (MI)

Record details

NPI number1285618447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Mills — President · (616) 530-3344
Other names Pathology Laboratory, P.C.
NPI enumeratedDecember 1, 2005
Last updated in NPPESJune 23, 2014
Mailing address2620 Horizon Dr Se, Suite 100, Grand Rapids, MI 49546-7520

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