Weststar Medical, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WESTSTAR MEDICAL, LLC

Practice address

4717 Campus Dr
Kalamazoo, MI 49008-5601

Phone

(800) 717-6390

Fax

(800) 717-6390

NPI assigned

Mar 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mark A. Smith, EDD

Title

Principal

Phone

(574) 532-2780

Specialties & licenses 1

Addresses

Tax ID family

Weststar Medical LLC2 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.

• Weststar Medical, LLC

  • Clinical Medical Laboratory
  • Scottsdale, AZ
  • NPI 1215320726
  NPD tax ID

Locations

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

{
    "created_epoch": "1394928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394928000000",
    "number": "1366868267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53444 ASH RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305025",
            "telephone_number": "800-717-6390",
            "fax_number": "800-717-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 CAMPUS DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490085601",
            "telephone_number": "800-717-6390",
            "fax_number": "800-717-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSTAR MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-16",
        "last_updated": "2014-03-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "574-532-2780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Kalamazoo, MI
• Providers in Kalamazoo, 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 Mar 16, 2014; 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.