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EVERGREEN TERRACE ASSISTED LIVING NPI 1235454356


NPI Information

NPI: 1235454356
Provider Name: EVERGREEN TERRACE ASSISTED LIVING

Doing Business As: EVERGREEN TERRACE ASSISTED LIVING - LABORATORY

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
801 FULLER AVE
BIG RAPIDS, MI
ZIP 49307
Phone: (231) 527-1050
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EVERGREEN TERRACE ASSISTED LIVING is a clinical medical laboratory in Big Rapids, MI. The provider is (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. EVERGREEN TERRACE ASSISTED LIVING NPI is 1235454356. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Terrace Assisted Living - Laboratory.

The provider's business location address is:

801 FULLER AVE
BIG RAPIDS, MI
ZIP 49307-106
Phone: (231) 527-1050

The provider's authorized official is Thomas Nobel .
The authorized official title is President and has the following contact phone number (231) 527-1050.

The enumeration date for this NPI number is 3/31/2010 and was last updated on 3/17/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical Laboratory23D1102189MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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