Baruch SLS, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23D0975379 Issued in MI

Legal business name

BARUCH SLS, INC.

Doing business as

Fountain View of Grant - Laboratory

Practice address

50 S Maple St
Grant, MI 49327-8426

Phone

(231) 834-8202

NPI assigned

Oct 20, 2009

Last updated

Oct 20, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

BARUCH SLS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Christopher Murphy

Title

Secretary / Treasurer

Phone

(616) 464-1564

Specialties & licenses 1

Addresses

Other names 1

• Fountain View of Grant - Laboratory Doing business as

Part of

Baruch SLS Inc

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1235465675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S MAPLE ST",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493278426",
            "telephone_number": "231-834-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S MAPLE ST",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493278426",
            "telephone_number": "231-834-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARUCH SLS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BARUCH SLS, INC.",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "SECRETARY / TREASURER",
        "authorized_official_telephone_number": "616-464-1564",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D0975379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain View of Grant - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erik Ryan Anderson, LMSW (MI), LCSW (AZ)
• Baldwin Family Health Care
• Baldwin Family Health Care (Family Health Care Pharmacy)
• Baldwin Family Health Care
• Katelyn Jo Barton, NP
• Baruch SLS, Inc. (Fountain View Retirement Village)
• Melissa S Bayne, DO
• Miranda Bickel, D.M.D.
• Sarah Bottorff
• Sheryl Sue Bourzac, FNP

• Clinical Medical Laboratory in Grant, MI
• Providers in Grant, 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 Oct 20, 2009; 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.