Ivf Laboratories of Grand Rapids, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IVF LABORATORIES OF GRAND RAPIDS, LLC

Doing business as

Ovation Fertility

Practice address

3230 Eagle Park Dr NE Ste 100
Grand Rapids, MI 49525-7047

Phone

(818) 858-1080

NPI assigned

Apr 14, 2022

Organization subpart

No

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

Authorized official

Name

Paul Kappelman

Title

Chief Executive Officer

Phone

(818) 858-1080

Specialties & licenses 1

Addresses

Other names 1

• Ovation Fertility Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1023751476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15821 VENTURA BLVD STE 625",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 EAGLE PARK DR NE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257047",
            "telephone_number": "818-858-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVF LABORATORIES OF GRAND RAPIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "KAPPELMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-858-1080"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ovation Fertility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ovation Fertility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abish Zitlatlic Israde
• Emma Israels
• Nene N/a Issa
• Raquel Italia
• John Jeffrey Italiano, DO
• Mary Christine Ivie-Scoggins, LMSW, CAADC
• Ivy Leaf Counseling PLLC
• Markian R Iwaszko, MD
• Carlee Jo Iwema, LLPC
• Sara Iwema

• Clinical Medical Laboratory in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.