Garcia Clinical Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GARCIA CLINICAL LABORATORY INC

Practice address

2195 Spring Arbor Rd
Jackson, MI 49203-2797

Phone

(517) 787-9200

Fax

(517) 787-1249

NPI assigned

Dec 28, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Garcia

Title

President

Phone

(517) 787-9200

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

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

• Claire Jean Denecker, PA-C

  • Physician Assistant
  • Ann Arbor, MI
  • NPI 1164019378
  NPD (past)
• Paige Katherine Gibson, PA-C

  • Physician Assistant
  • Jackson, MI
  • NPI 1679315139
  NPD (past)
• Tyler Jebbia

  • Medical Physician Assistant
  • Jackson, MI
  • NPI 1316827215
  NPD (past)
• Brad Ernest Kremer, M.D.

  • Family Medicine Physician
  • Jackson, MI
  • NPI 1396914230
  NPD (past)
• Meghan Kimberly Rutherford, FNP-C

  • Family Nurse Practitioner
  • Adrian, MI
  • NPI 1578382081
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1760469076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032797",
            "telephone_number": "517-787-9200",
            "fax_number": "517-787-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032797",
            "telephone_number": "517-787-9200",
            "fax_number": "517-787-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARCIA CLINICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-787-9200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN ID",
            "identifier": "690C81502",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "3520001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Ganong
• Kersten Mallory Gant, DO
• Sierra Gant, LLMSW
• Terrelle Donnisha Gant
• Ganton Home Care, LLC
• Coreen Dian Garcia-Sweets, P.A.,C
• Elizabeth Iocca Garcia, D.D.S
• Amaya Gardner
• Lawrence Gardon, RPH
• Katherine Garduno-Klynstra, NP

• Clinical Medical Laboratory in Jackson, MI
• Providers in Jackson, 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 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.