SPECTRUM HEALTH SAINT MARYS SHARED TECHNOLOGY SERVICES INC NPI 1376597385

NPI Information

SPECTRUM HEALTH SAINT MARYS SHARED TECHNOLOGY SERVICES INC is a radiology clinic center in Grand Rapids, MI. SPECTRUM HEALTH SAINT MARYS SHARED TECHNOLOGY SERVICES INC NPI is 1376597385. The provider is registered as an organization entity type.
The provider Is Doing Business As Pet Medical Imaging & Pet Medical Imaging Center.

The provider's business location address is:

3264 NORTH EVERGREEN DR
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 391-6002

The provider's authorized official is Marc A Chircop .
The authorized official title is Vp Ambulatory Services and has the following contact phone number (616) 391-2796.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 8/20/2007.

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:

Other Identifiers

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

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