WEST MICHIGAN IMAGING PARTNERS LLC (NPI# 1619213949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619213949 |
Entity Type | Organization |
Organization Name | WEST MICHIGAN IMAGING PARTNERS LLC |
Other Organization Name | OPEN MRI OF GRAND RAPIDS |
Practice Address |
3949 Sparks Dr Se Suite 104 Grand Rapids MI 49546-6110 |
Practice Telephone | 2482298285 |
Enumeration Date | 2012-12-13 |
Last Update Date | 2012-12-13 |
Authorized Official Name | JODIE BURKERT (CREDENTIALING MANAGER) |
Authorized Official Telephone | 2488894580 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
MI | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Open MRI of Grand Rapids | Doing Business As Name - Organization |
Street Address |
3949 SPARKS DR SE SUITE 104 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49546-6110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770623399 | Jane Randall Dyer | Social Worker | 3949 Sparks Dr Se, Suite 103, Grand Rapids, MI 49546-6110 | 2007-02-07 |
1851885800 | Ann Dawson | Social Worker | 3949 Sparks Dr Se, Grand Rapids, MI 49546-6110 | 2018-06-21 |
1932374634 | William Charles Van Woerkom | Social Worker | 3949 Sparks Dr Se, Grand Rapids, MI 49546-6110 | 2008-04-24 |
1760697643 | Gordon Irwin Greer | Social Worker | 3949 Sparks Dr Se, Ste. 103, Grand Rapids, MI 49546-6110 | 2007-05-13 |
1003033481 | Nan L Hunt | Social Worker | 3949 Sparks Dr Se, Suite 103, Grand Rapids, MI 49546 | 2007-04-19 |
1326262007 | Caroline Stanton Parmelee-noffsinger | Social Worker | 3949 Sparks Dr Se, Suite 103, Grand Rapids, MI 49546-6110 | 2007-04-12 |
1316073562 | Marsha Jacqueline Cable | Psychologist | 3949 Sparks Dr Se, Suite 103, Grand Rapids, MI 49546-6110 | 2007-02-24 |
1891838157 | Michael R. Durco | Counselor | 3949 Sparks Dr Se, Suite 103, Grand Rapids, MI 49546-6110 | 2007-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
Find all providers in zip 49546 |
Taxonomy Code | 261QM1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Magnetic Resonance Imaging (MRI) |
Definition to come... |
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1780122804 | Crystal Clear Health Management Inc | Clinic/Center | 16100 19 Mile Rd Ste 200, Clinton Township, MI 48038-1148 | 2017-02-09 |
1104291947 | Precision Mri of Michigan LLC | Clinic/Center | 27465 Southfield Rd, Lathrup Village, MI 48076-3411 | 2015-12-04 |
1326418013 | Instant Imaging LLC | Clinic/Center | 36622 Five Mile Rd Ste 103, Livonia, MI 48154-1900 | 2015-10-07 |
1053798785 | Laura Silber | Clinic/Center | 6604 Shadowood Dr, West Bloomfield, MI 48322-3294 | 2015-05-01 |
1831583228 | Superior Diagnostics, Inc. | Clinic/Center | 24481 W 10 Mile Rd, Southfield, MI 48033-2931 | 2015-03-24 |
1497186928 | Romri LLC | Clinic/Center | 27501 Woodward Ave, Suite 101, Berkley, MI 48072-0904 | 2013-12-10 |
1174966311 | Michigan Technology Partners LLC | Clinic/Center | 15201 Century Dr, Suite 606, Dearborn, MI 48120-1232 | 2013-04-08 |
Find all providers with the same taxonomy |
City | GRAND RAPIDS |
Zip Code | 49546 |
Please comment or provide details below to improve the information on WEST MICHIGAN IMAGING PARTNERS LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.