Immucor Gti Diagnostics, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23D1054909 Issued in MI

Legal business name

IMMUCOR GTI DIAGNOSTICS, INC.

Doing business as

Immucor DX

Practice address

301 Michigan St NE
Suite 580
Grand Rapids, MI 49503-3314

Phone

(616) 284-3818

Fax

(616) 284-3838

NPI assigned

Sep 8, 2015

Last updated

Apr 15, 2021By 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

Ms. Margaret Taylor

Title

Vice President, Chief Administrativ

Phone

(770) 225-8501

Specialties & licenses 1

Addresses

Other names 1

• Immucor DX Doing business as

Locations

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1669840674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MICHIGAN ST NE STE 574",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033314",
            "telephone_number": "616-284-3818",
            "fax_number": "616-284-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MICHIGAN ST NE",
            "address_2": "SUITE 580",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033314",
            "telephone_number": "616-284-3818",
            "fax_number": "616-284-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMUCOR GTI DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "VICE PRESIDENT, CHIEF ADMINISTRATIV",
        "authorized_official_telephone_number": "770-225-8501",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D1054909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immucor DX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Immucor DX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Grand Rapids, MI
• Providers in Grand Rapids, 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 15, 2021; 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.