Advantage DX

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

ADVANTAGE DX

Practice address

194 Novi PL
Wayland, MI 49348-9800

Phone

(616) 900-8410

Fax

(833) 377-4155

NPI assigned

Apr 15, 2021

Last updated

Apr 15, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Morgana Graham, MBA

Title

President

Phone

(616) 900-8410

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1013598721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "DORR",
            "state": "MI",
            "postal_code": "493230277",
            "telephone_number": "616-900-8410",
            "fax_number": "833-377-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 NOVI PL",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493489800",
            "telephone_number": "616-900-8410",
            "fax_number": "833-377-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE DX",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MORGANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-900-8410",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "morgana@advantage-dx.com",
            "affiliation": "N",
            "endpointDescription": "business address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "194 Novi Pl",
            "city": "Wayland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493489800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Contractor in Wayland, MI
• Providers in Wayland, MI by specialty
• Contractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.