Immucor Dx
LBN: Immucor Gti Diagnostics, Inc.
Immucor Dx is an health care organization with primary practice located at 301 Michigan St Ne Suite 580, Grand Rapids MI 49503-3314. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty.
Immucor Gti Diagnostics, Inc. can be contacted via phone (616) 284-3818, or through Taylor, Margaret via phone (770) 225-8501.
Contact Information
Primary practice address
301 Michigan St Ne Suite 580
Grand Rapids MI 49503-3314
Phone: (616) 284-3818
Fax: (616) 284-3838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X | 23D1054909 | Michigan |
Profile Details
| NPI number | 1669840674 |
|---|---|
| LBN Legal business name | Immucor Gti Diagnostics, Inc. |
| DBA Doing business as | Immucor Dx |
| Authorized official | Taylor, Margaret |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 8th, 2015 |
| Last updated | Apr 15th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669840674 | NPPES |
| Pennsylvania | Other | 031049 | STATE LICENSURE |
| Pennsylvania | MEDICAID | 156426 | STATE LICENSURE |
| Pennsylvania | MEDICAID | 7100431260 | STATE LICENSURE |
| Pennsylvania | Other | COS00800270 | STATE LICENSURE |
| Pennsylvania | Other | 1571 | STATE LICENSURE |
| Pennsylvania | Other | 23D1054909 | STATE LICENSURE |
| Pennsylvania | MEDICAID | 201131960A | STATE LICENSURE |
| Pennsylvania | Other | 800028023 | STATE LICENSURE |
| Pennsylvania | MEDICAID | L00526 | STATE LICENSURE |
| Pennsylvania | Other | LCO00995 | STATE LICENSURE |
| Pennsylvania | MEDICAID | 1669840674 | STATE LICENSURE |
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