Organization Active NPI

LSD Center of Excellence LLC

  • Clinical Genetics (M.D.) Physician
  • East Lansing, MI
National Provider Identifier
1649160375
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
Legal business name
LSD CENTER OF EXCELLENCE LLC
Doing business as
LSD Center
Practice address
200 Woodland Pass Ste D
East Lansing, MI 48823-2000
Phone
(616) 540-9365
NPI assigned
Jul 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Authorized official

Name
Mrs. Kimberly S Agim, ANP-BCNPI 1912243056
Title
Nurse Practitioner
Phone
(616) 540-9365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207SG0201X Primary

Addresses

Primary practice location

200 Woodland Pass Ste D
East Lansing, MI 48823-2000

Mailing address

3024 Bonita Dr SE
Grand Rapids, MI 49508-1424
Phone (616) 540-9365

Other names 1

  • LSD Center Doing business as

National Provider Directory

National Provider Directory

Locations

200 Woodland Pass
Ste D
East Lansing, MI 48823
Phone (616) 540-9365

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751587200000",
    "number": "1649160375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BONITA DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081424",
            "telephone_number": "616-540-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WOODLAND PASS STE D",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232000",
            "telephone_number": "616-540-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSD CENTER OF EXCELLENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-04",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A",
        "authorized_official_last_name": "AGIM",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "616-540-9365",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ANP-BC"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LSD Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; 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.