NPIMap

Organization Active NPI

Healthcare Midwest PC

  • Clinical Medical Laboratory
  • Kalamazoo, MI
National Provider Identifier
1144375619
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HEALTHCARE MIDWEST PC
Practice address
601 John St
Suite M-170
Kalamazoo, MI 49007-5341
Phone
(269) 381-5060
Fax
(269) 381-1655
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James E McKernan
Title
Administrator
Phone
(269) 373-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

601 John St
Suite M-170
Kalamazoo, MI 49007-5341

Mailing address

4341 S Westnedge Ave
Suite 2205
Kalamazoo, MI 49008-3289
Phone (269) 373-4646

Other names 1

  • HealthCare Midwest Internal Medicine Laboratory Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0376811Bronson Internal Medicine - John St601 John Street, Suite M-170a, Kalamazoo, MI 49007Certificate of waiverSep 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dale G Moore RN13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1141 S Rose St
Ste C
Kalamazoo, MI 49001
Phone (269) 370-4046

252 E Lovell St
Ste 502
Kalamazoo, MI 49007
Phone (616) 381-5060

601 John St
Ste M-170
Kalamazoo, MI 49007
Phone (269) 343-3939

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144375619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 S WESTNEDGE AVE",
            "address_2": "SUITE 2205",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083289",
            "telephone_number": "269-373-4646",
            "fax_number": "269-373-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "SUITE M-170",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-381-5060",
            "fax_number": "269-381-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE MIDWEST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKERNAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "269-373-4646",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthCare Midwest Internal Medicine Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.