Pathology Associates Of Grand Rapids, P.C.
LBN: Pathology Associates Of Grand Rapids, P.C.
Pathology Associates Of Grand Rapids, P.C. is an health care organization with primary practice located at 200 Jefferson Ave Se , Grand Rapids MI 49503. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty.
Pathology Associates Of Grand Rapids, P.C. can be contacted via phone (616) 364-6700, or through Khandavalli, Sarat C via phone (616) 252-7249.
Contact Information
Primary practice address
200 Jefferson Ave Se
Grand Rapids MI 49503
Phone: (616) 364-6700
Fax: (616) 364-4960
Website:
Authorized official contact:
Name: Khandavalli, Sarat C Doctor of Medicine (MD)
Phone: (616) 252-7249
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X |
Profile Details
NPI number | 1184636821 |
---|---|
LBN Legal business name | Pathology Associates Of Grand Rapids, P.C. |
DBA Doing business as | |
Authorized official | Khandavalli, Sarat C Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 12th, 2006 |
Last updated | Jun 1st, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184636821 | NPPES |
Michigan | MEDICAID | 1295996916 |
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