Active NPI
Western Michigan Pathology Associates, LLC
- Anatomic Pathology & Clinical Pathology Physician
- Holland, MI
National Provider Identifier
1053394080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- WESTERN MICHIGAN PATHOLOGY ASSOCIATES, LLC
- Practice address
- 602 Michigan Ave
Holland, MI 49423-4918 - Phone
- (616) 392-5141
- Fax
- (419) 866-5453
- NPI assigned
- Nov 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew David Carr
- Title
- Authorized Official
- Phone
- (800) 288-8325
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
602 Michigan Ave
Holland, MI 49423-4918
Mailing address
5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Holland, MI
- NPI 1710199021
-
- Anatomic Pathology & Clinical Pathology Physician
- Holland, MI
- NPI 1346477874
-
- Anatomic Pathology & Clinical Pathology Physician
- Holland, MI
- NPI 1619950649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1053394080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 SOUTHWYCK BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436141509",
"telephone_number": "800-288-8325",
"fax_number": "419-866-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 MICHIGAN AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234918",
"telephone_number": "616-392-5141",
"fax_number": "419-866-5453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN MICHIGAN PATHOLOGY ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-23",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "CARR",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "800-288-8325"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
- West Michigan Psychological Services LLC
- West Michigan Sleep Apnea Solutions PLLC
- West Shore Counseling Services, LLC
- West Shore Medical Personnel Services, Inc.
- Frances West, LLMSW
- Western Michigan Urological Associates PLC
- Emma Westra
- Hannah Westrate
- Mark Edwin Westrate, LMSW, CAADC, BCD
- Westshore Endodontics PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.