PATHOLOGY LABORATORY, P.C.
NPI 1285618447
Clinical Medical Laboratory in Grand Rapids, MI

Active since December 01, 2005
2620 HORIZON DRIVE SE, SUITE 100, GRAND RAPIDS, MI 49546(616) 530-3344(616) 530-0575 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pathology Laboratory, P.c. NPPES

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

PATHOLOGY LABORATORY, P.C. (NPI 1285618447) is a healthcare organization registered as a clinical medical laboratory in Grand Rapids, Michigan and active in the NPI registry since December 2005. The organization lists Kim A. Mills, President, as its authorized official.

NPPES Registry Identity

NPI1285618447
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePATHOLOGY LABORATORY, P.C.
Location Address2620 HORIZON DRIVE SE, SUITE 100Grand Rapids, MI 49546-7936
Mailing Address2620 Horizon Dr Se, Suite 100Grand Rapids, MI 49546-7520 · (616) 530-3344 · Fax (616) 530-0575
Fax(616) 530-0575
Organization SubpartNo
Authorized OfficialKim A. MillsPresident · (616) 530-3344
Enumeration DateDecember 1, 2005
Last NPPES UpdateJune 23, 2014
✔ NPI 1285618447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License✔ Licensed in MI · 23D0380021
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 23D0380021 (MI)
2620 HORIZON DRIVE SE, Grand Rapids, MI 49546

Other Names 1

Doing Business AsPathology Laboratory, P.c.

Other Identifiers 1

Medicare PINOP30660MI

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)

Pathology Laboratory, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Pathology Laboratory, P.C., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Pathology
NPI 1760478598
601 JOHN ST
Kalamazoo, MI 49007
(269) 341-7654
✔ PECOS✔ Accepts Medicare44 mi
Pathology
NPI 1386637692
601 JOHN ST
Kalamazoo, MI 49007
(269) 341-7654
✔ PECOS✔ Accepts Medicare44 mi
Pathology
NPI 1447460506
1500 EAST MEDICAL CENTER DR 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
Ann Arbor, MI 48109
(800) 862-7284
✔ PECOS✔ Accepts Medicare102 mi
Pathology
NPI 1427012012
718 N MACOMB ST
Monroe, MI 48162
(734) 240-8400
✔ PECOS✔ Accepts Medicare130 mi
Pathology
NPI 1346209558
3170 W CENTRAL AVE
Toledo, OH 43606
(419) 534-3500
✔ PECOS✔ Accepts Medicare130 mi
Pathology
NPI 1285694133
3170 W CENTRAL AVE
Toledo, OH 43606
(419) 534-3500
✔ PECOS✔ Accepts Medicare130 mi
Pathology
NPI 1245290105
3170 W CENTRAL AVE
Toledo, OH 43606
(419) 534-3500
✔ PECOS✔ Accepts Medicare130 mi
Pathology
NPI 1457472318
2142 NORTH COVE BLVD.
Toledo, OH 43606
(419) 534-3500
✔ PECOS✔ Accepts Medicare132 mi
Pathology
NPI 1609004878
2500 METROHEALTH DR
Cleveland, OH 44109
(216) 778-5149
✔ PECOS✔ Accepts Medicare221 mi

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 Pathology Laboratory, P.C.'s NPI number?

The NPI number for Pathology Laboratory, P.C. is 1285618447. It was assigned to this organization in the NPPES registry on December 1, 2005.

Where is Pathology Laboratory, P.C. located?

Pathology Laboratory, P.C. is located at 2620 Horizon Drive SE Suite 100, Grand Rapids, MI 49546. The listed phone number is (616) 530-3344.

What is Pathology Laboratory, P.C.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Pathology Laboratory, P.C. enrolled in Medicare?

Yes. Pathology Laboratory, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pathology Laboratory, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Pathology, reassign their Medicare billing to Pathology Laboratory, P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pathology Laboratory, P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Pathology Laboratory, 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 Laboratory, P.C. was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.