Phadia US Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23D1088923 Issued in MI

Legal business name

PHADIA US INC.

Practice address

4169 Commercial Ave
Portage, MI 49002-9701

Phone

(800) 346-4364

Fax

(877) 675-4946

NPI assigned

Apr 6, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jim Palmere

Title

VP Finance & Operations

Phone

(269) 492-1959

Specialties & licenses 1

Addresses

Other names 1

• Phadia Immunology Reference Lab Doing business as

Locations

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1487979142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 COMMERCIAL AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490029701",
            "telephone_number": "800-346-4364",
            "fax_number": "877-675-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4169 COMMERCIAL AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490029701",
            "telephone_number": "800-346-4364",
            "fax_number": "877-675-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHADIA US INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "PALMERE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "VP FINANCE & OPERATIONS",
        "authorized_official_telephone_number": "269-492-1959",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D1088923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phadia Immunology Reference Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aimee Leah Peters, M.A.
• Elizabeth A Peters, LMSW
• Ashley Petersen, LLPC
• Lloyd D. Peterson, BCBA-D
• Scott M Peterson, MD
• Emma Phelps
• Grace Phelps, LLC
• Physical Therapy One, P.C.
• Physiotherapy Associates Inc
• Carly Piacentini, MS, BCBA

• Clinical Medical Laboratory in Portage, MI
• Providers in Portage, 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 Apr 6, 2010; 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.