Westshore Diagnostics, PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WESTSHORE DIAGNOSTICS, PC

Practice address

1500 E Sherman Blvd
Muskegon, MI 49444-1849

Phone

(231) 728-5758

NPI assigned

Oct 8, 2008

Last updated

Aug 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Octavia B Graur, MDNPI 1033200720

Title

President

Phone

(231) 728-5758

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

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.

• Octavia B Graur, MD PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Muskegon, MI
  • NPI 1033200720
  Medicare reassignment Care Compare group NPD Authorized official
• Chad Bertucci, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Muskegon, MI
  • NPI 1205155710
  Medicare reassignment Care Compare group NPD
• Casey John Cress, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Muskegon, MI
  • NPI 1396965356
  Medicare reassignment Care Compare group NPD
• Adam Joseph Darnell, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Muskegon, MI
  • NPI 1508091364
  Medicare reassignment Care Compare group NPD
• Christine R Faser, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Muskegon, MI
  • NPI 1235220914
  Medicare reassignment Care Compare group NPD
• Zackery Yingchun Zhang, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Muskegon, MI
  • NPI 1306858048
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1497906481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494430026",
            "telephone_number": "231-728-5758",
            "fax_number": "231-728-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441849",
            "telephone_number": "231-728-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSHORE DIAGNOSTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "GRAUR",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-728-5758",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Lynn Westerbeek
• Steven Westerhof, PAC
• Ryan Ronald Westerhouse, BA
• Elizabeth Ann Westgate, PA
• Westshore Dentistry, P.C.
• Westshore Pathology Services PLC
• Westshore Pathology Services PLC
• Heather Dawn Wever, PTA
• Nicholas Robert Whalen, DO
• Latanya Taunnette Wheeler, LMSW

• Clinical Medical Laboratory in Muskegon, MI
• Providers in Muskegon, 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 Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.