| NPI | 1285618447 |
|---|---|
| Doing Business As | PATHOLOGY LABORATORY, P.C. |
| Entity Type | Organization |
| Authorized Contact | KIM A. MILLS President 616-530-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D0380021) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 23D0380021) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2014-06-23 |