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ASCENSION MEDICAL GROUP MICHIGAN NPI 1770984601


NPI Information

NPI: 1770984601
Provider Name: ASCENSION MEDICAL GROUP MICHIGAN
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 23D0370395

Address:
19229 MACK AVE
SUITE 27
GROSSE POINTE WOODS, MI
ZIP 48236
Phone: (313) 647-3292
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ASCENSION MEDICAL GROUP MICHIGAN is a clinical medical laboratory in Grosse Pointe Woods, 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. ASCENSION MEDICAL GROUP MICHIGAN NPI is 1770984601. The provider is registered as an organization entity type.

The provider's business location address is:

19229 MACK AVE
SUITE 27
GROSSE POINTE WOODS, MI
ZIP 48236-858
Phone: (313) 647-3292
Fax: (313) 884-6054

The provider's authorized official is Sarah Starkel .
The authorized official title is Supervisor and has the following contact phone number (248) 680-8121.

The CLIA number assigned to this NPI record is 23D0370395 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/10/2014 and was last updated on 11/29/2023.


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 LaboratoryMICHIGANYes

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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