NPIMap

Organization Active NPI

Spectrum Health Saint Marys Shared Technology Services Inc

Doing business as Pet Medical Imaging & Pet Medical Imaging Center

  • Radiology Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1376597385
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SPECTRUM HEALTH SAINT MARYS SHARED TECHNOLOGY SERVICES INC
Doing business as
Pet Medical Imaging & Pet Medical Imaging Center
Practice address
3264 North Evergreen Dr
Grand Rapids, MI 49525
Phone
(616) 391-6002
NPI assigned
May 22, 2006
Last updated
Aug 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Mr. Marc A Chircop
Title
VP Ambulatory Services
Phone
(616) 391-2796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

3264 North Evergreen Dr
Grand Rapids, MI 49525

Mailing address

3264 North Evergreen Dr
Grand Rapids, MI 49525
Phone (616) 391-6002

Other names 1

  • Pet Medical Imaging & Pet Medical Imaging Center Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2388 Reliable Pkwy
Chicago, IL 60686

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1376597385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 NORTH EVERGREEN DR",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49525",
            "telephone_number": "616-391-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 NORTH EVERGREEN DR",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49525",
            "telephone_number": "616-391-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH SAINT MARYS SHARED TECHNOLOGY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "CHIRCOP",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP AMBULATORY SERVICES",
        "authorized_official_telephone_number": "616-391-2796",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pet Medical Imaging & Pet Medical Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.