NPIMap

Organization Active NPI

Organ Procurement Agency of Michigan

Doing business as Gift of Life Michigan

  • Organ Procurement Organization
  • Ann Arbor, MI
National Provider Identifier
1245757756
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Organ Procurement OrganizationTaxonomy code 335U00000X
Legal business name
ORGAN PROCUREMENT AGENCY OF MICHIGAN
Doing business as
Gift of Life Michigan
Practice address
3861 Research Park Dr
Ann Arbor, MI 48108-2217
Phone
(734) 922-1052
NPI assigned
Aug 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Ladora Dils
Title
President/Ceo
Phone
(734) 922-1094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Organ Procurement Organization 335U00000X Primary

Addresses

Primary practice location

3861 Research Park Dr
Ann Arbor, MI 48108-2217

Mailing address

3861 Research Park Dr
Ann Arbor, MI 48108-2217
Phone (734) 922-1052

Other names 1

  • Gift of Life Michigan Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gift of Life Michigan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3861 Research Park Dr
Ann Arbor, MI 48108
Phone (734) 922-1052

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245757756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3861 RESEARCH PARK DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082217",
            "telephone_number": "734-922-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3861 RESEARCH PARK DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082217",
            "telephone_number": "734-922-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORGAN PROCUREMENT AGENCY OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "DILS",
        "authorized_official_first_name": "LADORA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "734-922-1094",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335U00000X",
            "taxonomy_group": "",
            "desc": "Organ Procurement Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gift of Life Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.