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ADVANCED CARDIAC & VASCULAR CENTERS FOR AMPUTATION PREVENTION PLC NPI 1669984480


NPI Information

NPI: 1669984480
Provider Name: ADVANCED CARDIAC & VASCULAR CENTERS FOR AMPUTATION PREVENTION PLC
Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

CLIA Number: 23D2180946

Address:
1525 E BELTLINE AVE NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 447-8220
Get Directions

ADVANCED CARDIAC & VASCULAR CENTERS FOR AMPUTATION PREVENTION PLC is an interventional cardiology internal medicine in Grand Rapids, MI. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. ADVANCED CARDIAC & VASCULAR CENTERS FOR AMPUTATION PREVENTION PLC NPI is 1669984480. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1525 E BELTLINE AVE NE
GRAND RAPIDS, MI
ZIP 49525-598
Phone: (616) 447-8220

The provider's authorized official is Fadi A Saab .
The authorized official title is Owner and has the following contact phone number (616) 447-8220.

The CLIA number assigned to this NPI record is 23D2180946 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/2/2017 and was last updated on 10/9/2019.


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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
22086S0129XSurgeryVascular SurgeryNo
3207RI0011XInternal MedicineInterventional CardiologyYes

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
11528028412MEDICAIDMICHIGAN

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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