PATHOLOGY ASSOCIATES OF GRAND RAPIDS, P.C.
NPI 1184636821
Pathology - Anatomic Pathology & Clinical Pathology in Grand Rapids, MI

Q: What is Pathology Associates Of Grand Rapids, P.C.'s specialty?

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

Active since August 12, 2006

200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 364-6700(616) 364-4960 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2020, Feb 28, 2019 (2 updates tracked since 2019).

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About Pathology Associates Of Grand Rapids, P.c. NPPES

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

PATHOLOGY ASSOCIATES OF GRAND RAPIDS, P.C. (NPI 1184636821) is a healthcare organization registered as an anatomic pathology & clinical pathology in Grand Rapids, Michigan and active in the NPI registry since August 2006. The organization maintains 2 additional practice locations and lists Sarat C Khandavalli, President, as its authorized official.

NPPES Registry Identity

NPI1184636821

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NamePATHOLOGY ASSOCIATES OF GRAND RAPIDS, P.C.

Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503

Mailing AddressPo Box 9186Longview, TX 75608-9186 · (903) 663-4800 · Fax (419) 223-2726

Phone(616) 364-6700

Fax(616) 364-4960

Organization SubpartNo

Authorized OfficialSarat C KhandavalliPresident · (616) 252-7249

Enumeration DateAugust 12, 2006

Last NPPES UpdateApril 15, 20252 updates tracked since enumeration

NPPES CertifiedApril 15, 2025

✔ NPI 1184636821 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.

200 JEFFERSON AVE SE, Grand Rapids, MI 49503

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Secondary Practice Locations 2

Location 15900 Byron Center Ave SWWyoming, MI 49519-9606 · Phone (877) 378-4293

Location 22122 Health Dr SWWyoming, MI 49519-9698 · Phone (616) 252-7151

Other Identifiers 1

Medicaid1295996916MI

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHARINE LIND THOMPSON PT

Physical Therapist

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-6264

ANNE MARIE TALBOT CRNA

Nurse Anesthetist, Certified Registered

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-6063

DR. ADAM MICHAEL ANDERSON MD

Emergency Medicine

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-5000

MARIA E DIMUSTO-POORTENGA MD

Pediatrics (Neonatal-Perinatal Medicine)

200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503

Kent County (616) 752-6554

THE BOUTIQUE AT MERCY HEALTH LACKS CANCER CENTER

Durable Medical Equipment & Medical Supplies

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-5030

MELISSA SUE HUDECZ MS, OTR/L

Occupational Therapist

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-6264

TIMOTHY RUSSELL LEONARD

Nurse Practitioner (Family)

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 465-5910

CAMRIA RENEE DEATON BSN, RN

Registered Nurse

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-5000

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 Pathology Associates Of Grand Rapids, P.C.'s NPI number?

The NPI number for Pathology Associates Of Grand Rapids, P.C. is 1184636821. It was assigned to this organization in the NPPES registry on August 12, 2006.

Where is Pathology Associates Of Grand Rapids, P.C. located?

Pathology Associates Of Grand Rapids, P.C. is located at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 364-6700.

What is Pathology Associates Of Grand Rapids, P.C.'s specialty?

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

What insurance does Pathology Associates Of Grand Rapids, P.C. accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Pathology Associates Of Grand Rapids, P.C. 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 Pathology Associates Of Grand Rapids, P.C. was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.