Organization Active NPI

Hume Home of Muskegon

  • Clinical Medical Laboratory
  • Muskegon, MI
National Provider Identifier
1306128228
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
23D1091054 Issued in MI
Legal business name
HUME HOME OF MUSKEGON
Practice address
1244 W Southern Ave
Muskegon, MI 49441-2271
Phone
(231) 755-1715
Fax
(231) 755-3155
NPI assigned
Sep 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Jennifer Zattlin
Title
Director / Administrator
Phone
(231) 755-1715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 23D1091054 MI Primary

Addresses

Primary practice location

1244 W Southern Ave
Muskegon, MI 49441-2271

Mailing address

1244 W Southern Ave
Muskegon, MI 49441-2271
Phone (231) 755-1715

Other names 1

  • Hume Home - Laboratory Doing business as

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
23D1091054Hume Home of Muskegon1244 W Southern Avenue, Muskegon, MI 49441Certificate of waiverOct 23, 2026

National Provider Directory

National Provider Directory

Locations

1244 W Southern Ave
Muskegon, MI 49441
Phone (231) 755-1715

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1306128228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 W SOUTHERN AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412271",
            "telephone_number": "231-755-1715",
            "fax_number": "231-755-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 W SOUTHERN AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412271",
            "telephone_number": "231-755-1715",
            "fax_number": "231-755-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUME HOME OF MUSKEGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "ZATTLIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR / ADMINISTRATOR",
        "authorized_official_telephone_number": "231-755-1715"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D1091054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hume Home - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.