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CANCER & HEMATOLOGY CENTERS OF WESTERN MI P.C. NPI 1386864080


NPI Information

NPI: 1386864080
Provider Name: CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 23D0873642

Address:
145 MICHIGAN ST NE
SUITE 3100
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 954-9800
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CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C. is a clinical medical laboratory in Grand 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. CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C. NPI is 1386864080. The provider is registered as an organization entity type.

The provider's business location address is:

145 MICHIGAN ST NE
SUITE 3100
GRAND RAPIDS, MI
ZIP 49503-562
Phone: (616) 954-9800
Fax: (616) 954-2116

The provider's authorized official is Stuart A Genschaw .
The authorized official title is Chief Executive Officer and has the following contact phone number (616) 977-4857.

The CLIA number assigned to this NPI record is 23D0873642 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 3/11/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
123D0873642OTHERMICHIGANCLIA
223D1081376OTHERMICHIGANCLIA
323D0929489OTHERMICHIGANCLIA

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: 4/28/2024

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