NPI Details
IMMUCOR GTI DIAGNOSTICS, INC. 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. IMMUCOR GTI DIAGNOSTICS, INC. NPI is 1669840674. The provider is registered as an organization entity type.
The provider Is Doing Business As Immucor Dx.
The provider's business location address is:
301 MICHIGAN ST NE
SUITE 580
GRAND RAPIDS, MI
ZIP 49503-314
Phone: (616) 284-3818
Fax: (616) 284-3838
The provider's authorized official is Margaret Taylor .
The authorized official title is Vice President, Chief Administrativ and has the following contact phone number (770) 225-8501.
The enumeration date for this NPI number is 9/8/2015 and was last updated on 4/15/2021.
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 |
| 1 | 291U00000X | Clinical Medical Laboratory | | 23D1054909 | MICHIGAN | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 156426 | MEDICAID | ARIZONA | |
| 2 | L00526 | MEDICAID | SOUTH CAROLINA | |
| 3 | 7100431260 | MEDICAID | KENTUCKY | |
| 4 | 1669840674 | MEDICAID | MICHIGAN | |
| 5 | 1571 | OTHER | MARYLAND | STATE LICENSE |
| 6 | 201131960A | MEDICAID | KANSAS | |
| 7 | 23D1054909 | OTHER | MICHIGAN | CLIA CERTIFICATION |
| 8 | 800028023 | OTHER | FLORIDA | STATE LICENSE |
| 9 | COS00800270 | OTHER | CALIFORNIA | STATE LICENSE |
| 10 | 031049 | OTHER | PENNSYLVANIA | STATE LICENSURE |
| 11 | LCO00995 | OTHER | RHODE ISLAND | STATE LICENSE |
