Organization Active NPI

Michigan Ambulatory

  • Non-emergency Medical Transport (VAN)
  • Kalamazoo, MI
National Provider Identifier
1740069012
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MICHIGAN AMBULATORY
Practice address
414 Greenwich PL
Kalamazoo, MI 49007-3304
Phone
(616) 340-1774
NPI assigned
Sep 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Lyonel Lagrone
Title
Owner
Phone
(616) 340-1774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

414 Greenwich PL
Kalamazoo, MI 49007-3304

Mailing address

414 Greenwich PL
Kalamazoo, MI 49007-3304
Phone (616) 340-1774

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1740069012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 GREENWICH PL",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073304",
            "telephone_number": "616-340-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 GREENWICH PL",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073304",
            "telephone_number": "616-340-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN AMBULATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "LAGRONE",
        "authorized_official_first_name": "LYONEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-340-1774"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 26, 2023; 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.