Michigan Blood

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23D0724117 Issued in MI

Legal business name

MICHIGAN BLOOD

Practice address

1036 Fuller Ave NE
Grand Rapids, MI 49503-1304

Phone

(616) 774-2300

Fax

(616) 233-8612

NPI assigned

Sep 30, 2008

Last updated

May 12, 2011By 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

Mr. William J. Rietscha

Title

President/Ceo

Phone

(616) 774-2300

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 3

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.

• M Elizabeth Atkinson, MD

  • Blood Banking & Transfusion Medicine Physician
  • Grand Rapids, MI
  • NPI 1043339138
  NPD (past)
• Timothy Pancioli, DO

  • Blood Banking & Transfusion Medicine Physician
  • Grand Rapids, MI
  • NPI 1285161315
  NPD (past)
• Lee Ann Weitekamp, MD

  • Blood Banking & Transfusion Medicine Physician
  • Grand Rapids, MI
  • NPI 1255458592
  NPD (past)

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1154572881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1704",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495011704",
            "telephone_number": "616-774-2300",
            "fax_number": "616-233-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 FULLER AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031304",
            "telephone_number": "616-774-2300",
            "fax_number": "616-233-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN BLOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "RIETSCHA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "616-774-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D0724117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Andrew Michelakis, MD
• Tami Joy Michele, DO
• Christopher Michels
• Erica A Michiels, MD
• Michigan Behavioral Consultants PC
• Michigan Center for TMJ Sleep Disorders
• Michigan Christian Home (Beacon Hill At Eastgate)
• Michigan Hand Center, PLC
• Michigan Heart Lung and Vein Surgery
• Michigan Medical Patient Care

• 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 May 12, 2011; 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.