NPIMap

Organization Active NPI

Western Michigan University

  • Clinical Medical Laboratory
  • Kalamazoo, MI
National Provider Identifier
1639407786
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WESTERN MICHIGAN UNIVERSITY
Practice address
1903 W Michigan Ave
Kalamazoo, MI 49008-5200
Phone
(269) 387-3290
Fax
(269) 387-3204
NPI assigned
Dec 1, 2009
Organization subpart
Yes
Parent organization
WESTERN MICHIGAN UNIVERSITY SINDECUSE HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Mrs. Carol Eddy
Title
Directory
Phone
(269) 387-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1903 W Michigan Ave
Kalamazoo, MI 49008-5200

Mailing address

1903 W Michigan Ave
Kalamazoo, MI 49008-5200
Phone (269) 387-3290

Other names 1

  • WMU Sindecuse Health Center Laboratory Other name

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
23D0037436Wmu Sindecuse Health Center1903 W Michigan Avenue, Kalamazoo, MI 49008Provider-performed microscopyJun 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Western Michigan Univer16 organizations share this tax ID, including this one
Part of
Western Michigan Univer

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1639407786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 W MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490085200",
            "telephone_number": "269-387-3290",
            "fax_number": "269-387-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 W MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490085200",
            "telephone_number": "269-387-3290",
            "fax_number": "269-387-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MICHIGAN UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN MICHIGAN UNIVERSITY SINDECUSE HEALTH CENTER",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTORY",
        "authorized_official_telephone_number": "269-387-3280",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WMU Sindecuse Health Center Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.