IMMUCOR GTI DIAGNOSTICS, INC. (NPI# 1669840674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669840674 |
| Entity Type | Organization |
| Organization Name | IMMUCOR GTI DIAGNOSTICS, INC. |
| Other Organization Name | IMMUCOR DX |
| Practice Address |
301 Michigan St Ne Suite 580 Grand Rapids MI 49503-3314 |
| Practice Telephone | 6162843818 |
| Practice Fax Number | 6162843838 |
| Mailing Telephone | 6162843818 |
| Mailing Fax Number | 6162843838 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2017-05-30 |
| Authorized Official Name | MS. MARGARET TAYLOR (VICE PRESIDENT, CHIEF ADMINISTRATIV) |
| Authorized Official Telephone | 7702258501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 23D1054909 | MI | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1669840674 | 05 | |
| MI | CLIA CERTIFICATION | 23D1054909 | 01 |
| FL | STATE LICENSE | 800028023 | 01 |
| AZ | 156426 | 05 | |
| KY | 7100431260 | 05 | |
| CA | STATE LICENSE | COS00800270 | 01 |
| PA | STATE LICENSURE | 031049 | 01 |
| MD | STATE LICENSE | 1571 | 01 |
| KS | 201131960A | 05 | |
| SC | L00526 | 05 | |
| RI | STATE LICENSE | LCO00995 | 01 |
| Other Name | Type Code |
|---|---|
| Immucor DX | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | IMMUCOR GTI DIAGNOSTICS, INC. | 20925 Crossroads Circle, Suite 200, Waukesha, WI 53186 |
| New York State Corporations | IMMUCOR GTI DIAGNOSTICS, INC. | 3130 Gateway Drive, Norcross, Ga 30071 |
| Street Address |
301 MICHIGAN ST NE SUITE 580 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497924773 | Mary Lisa Pagnucco | Pharmacist | 301 Michigan St Ne, Physician Assistant Studies, Suite 164, Grand Rapids, MI 49503-3314 | 2008-02-21 |
| 1184240376 | Kayla Innis | Registered Nurse | 301 Michigan St Ne, Grand Rapids, MI 49503-3314 | 2020-06-23 |
| 1831725399 | Spectrum Health Hospital | General Acute Care Hospital | 301 Michigan St Ne, Grand Rapids, MI 49503-3314 | 2020-03-17 |
| 1437694197 | Rachel Carter | Occupational Therapist | 301 Michigan St Ne, Grand Rapids, MI 49503-3314 | 2017-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407156052 | Spectrum Health Primary Care Partners | Clinical Medical Laboratory | 1040 Monroe Ave Nw, Grand Rapids, MI 49503 | 2010-10-29 |
| 1760557375 | Cascade Medical Testing Lab, Inc. | Clinical Medical Laboratory | 2251 E Paris Ave Se, Grand Rapids, MI 49546-2431 | 2006-11-21 |
| 1982660734 | Kent Pathology Laboratory Pllc | Clinical Medical Laboratory | 2650 Horizon Dr Se, Suite B, Grand Rapids, MI 49546-7519 | 2006-04-21 |
| 1326484569 | Nxgen Mdx, LLC | Clinical Medical Laboratory | 801 Broadway Ave Nw, Suite 203, Grand Rapids, MI 49504-4462 | 2013-05-15 |
| 1619232204 | Arcticax Us Ltd | Clinical Medical Laboratory | 801 Broadway Ave Nw, Suite 303, Grand Rapids, MI 49504-4462 | 2012-07-10 |
| 1467723502 | Universal Dermatopathology Lab, Pllc | Clinical Medical Laboratory | 2650 Horizon Dr Se, Suite 233, Grand Rapids, MI 49546-7519 | 2012-01-20 |
| 1215236369 | Keri Topouzian, Do PC | Clinical Medical Laboratory | 1000 E Paris Ave Se, Suite 138, Grand Rapids, MI 49546-3691 | 2011-03-15 |
| 1902111479 | Spectrum Health Primary Care Partners | Clinical Medical Laboratory | 1140 Monroe Ave Nw, Suite 4102, Grand Rapids, MI 49503-1055 | 2010-08-09 |
| 1528205028 | Sequenom Center for Molecular Medicine LLC | Clinical Medical Laboratory | 301 Michigan St Ne Ste 580, Grand Rapids, MI 49503-3314 | 2009-01-21 |
| 1154572881 | Michigan Blood | Clinical Medical Laboratory | 1036 Fuller Ave Ne, Grand Rapids, MI 49503-1304 | 2008-09-30 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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| 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.