Organization Active NPI

Laboratory Pathologists PC

Doing business as Pathology Laboratory

  • Clinical Medical Laboratory
  • Grandville, MI
National Provider Identifier
1982681557
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
207ZC0500X Issued in MI
Legal business name
LABORATORY PATHOLOGISTS PC
Doing business as
Pathology Laboratory
Practice address
2990 Franklin Ave SW
Grandville, MI 49418-3505
Phone
(616) 530-3344
Fax
(616) 532-8040
NPI assigned
Dec 27, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rachel Cornell
Title
Business Manager
Phone
(616) 530-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 207ZC0500X MI Primary

Addresses

Primary practice location

2990 Franklin Ave SW
Grandville, MI 49418-3505

Mailing address

PO Box 936
Grandville, MI 49468-0936
Phone (616) 530-3344

Other names 1

  • PATHOLOGY LABORATORY Doing business as

National Provider Directory

National Provider Directory

Locations

2990 Franklin Ave SW
Grandville, MI 49418
Phone (616) 530-3344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982681557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494680936",
            "telephone_number": "616-530-3344",
            "fax_number": "616-532-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 FRANKLIN AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494183505",
            "telephone_number": "616-530-3344",
            "fax_number": "616-532-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY PATHOLOGISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "616-530-3344"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "207ZC0500X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATHOLOGY LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.