WESTERN MICHIGAN PATHOLOGY ASSOCIATES, LLC
NPI 1053394080
Pathology - Anatomic Pathology & Clinical Pathology in Holland, MI

Active since November 23, 2005
602 MICHIGAN AVE, HOLLAND, MI 49423(616) 392-5141(419) 866-5453 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2026, Apr 13, 2018, Mar 28, 2018 (3 updates tracked since 2018).

About Western Michigan Pathology Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN MICHIGAN PATHOLOGY ASSOCIATES, LLC (NPI 1053394080) is a healthcare organization registered as an anatomic pathology & clinical pathology in Holland, Michigan and active in the NPI registry since November 2005. The organization lists Matthew David Carr, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1053394080
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameWESTERN MICHIGAN PATHOLOGY ASSOCIATES, LLC
Location Address602 MICHIGAN AVEHolland, MI 49423-4918
Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453
Fax(419) 866-5453
Organization SubpartNo
Authorized OfficialMatthew David CarrAuthorized Official · (800) 288-8325
Enumeration DateNovember 23, 2005
Last NPPES UpdateMay 21, 20263 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1053394080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
602 MICHIGAN AVE, Holland, MI 49423

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Western Michigan Pathology Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Western Michigan Pathology Associates, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Pathology
NPI 1710199021
602 MICHIGAN AVE
Holland, MI 49423
(616) 394-3185
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1346477874
602 MICHIGAN AVE
Holland, MI 49423
(616) 394-3287
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Western Michigan Pathology Associates, LLC's NPI number?

The NPI number for Western Michigan Pathology Associates, LLC is 1053394080. It was assigned to this organization in the NPPES registry on November 23, 2005.

Where is Western Michigan Pathology Associates, LLC located?

Western Michigan Pathology Associates, LLC is located at 602 Michigan Ave, Holland, MI 49423. The listed phone number is (616) 392-5141.

What is Western Michigan Pathology Associates, LLC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Western Michigan Pathology Associates, LLC enrolled in Medicare?

Yes. Western Michigan Pathology Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Western Michigan Pathology Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pathology, reassign their Medicare billing to Western Michigan Pathology Associates, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Western Michigan Pathology Associates, LLC accept?

Health plans from Priority Health list Western Michigan Pathology Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Western Michigan Pathology Associates, LLC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.