GREAT LAKES RESEARCH GROUP INC. NPI 1831695543

NPI Information

  • NPI: 1831695543
  • Provider Name: GREAT LAKES RESEARCH GROUP, INC.
  • Classification: Clinic/Center - 261QR1100X
  • Specialization: Research
  • Entity Type: Organization
  • CLIA Number: 23D0374996
  • Address: 200 S WENONA ST STE 170
    BAY CITY, MI
    ZIP 48706
  • Phone: (989) 895-9100

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NPI Details

GREAT LAKES RESEARCH GROUP, INC. is a research clinic center in Bay City, MI. GREAT LAKES RESEARCH GROUP, INC. NPI is 1831695543. The provider is registered as an organization entity type.

The provider's business location address is:

200 S WENONA ST STE 170
BAY CITY, MI
ZIP 48706-831
Phone: (989) 895-9100
Fax: (989) 895-9200

The provider's authorized official is Terri L Vittitow .
The authorized official title is Site Director and has the following contact phone number (989) 895-9100.

The CLIA number assigned to this NPI record is 23D0374996 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/2/2018 and was last updated on 4/2/2018.

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
1261QR1100XClinic/CenterResearchYes

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: 11/21/2025

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