Organization Active NPI

Regional Medical Laboratories, Inc.

  • Clinical Medical Laboratory
  • Battle Creek, MI
National Provider Identifier
1730105719
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
23D30377486 Issued in MI
Legal business name
REGIONAL MEDICAL LABORATORIES, INC.
Practice address
175 College St
Battle Creek, MI 49017-3432
Phone
(269) 969-6161
Fax
(269) 969-6078
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
William L Depompolo
Title
Business Manager
Phone
(269) 969-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 23D30377486 MI Primary

Addresses

Primary practice location

175 College St
Battle Creek, MI 49017-3432

Mailing address

175 College St
Battle Creek, MI 49037-3432
Phone (269) 969-6161

Other identifiers 2

IdentifierTypeStateIssuer
1839676MedicaidMI
690A315040OtherMIBCBSM

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1730105719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 COLLEGE ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490373432",
            "telephone_number": "269-969-6161",
            "fax_number": "269-969-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 COLLEGE ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173432",
            "telephone_number": "269-969-6161",
            "fax_number": "269-969-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL MEDICAL LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "DEPOMPOLO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "269-969-6161"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D30377486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1839676",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "690A315040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.