Internal Medicine of Northern Michigan Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INTERNAL MEDICINE OF NORTHERN MICHIGAN LABORATORY

Practice address

560 W Mitchell St
Suite 300
Petoskey, MI 49770-2275

Phone

(231) 487-2460

Fax

(231) 487-6596

NPI assigned

Jun 28, 2012

Organization subpart

Yes

Parent organization

INTERNAL MEDICINE OF NORTHERN MICHIGANAs reported in NPPES

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

Authorized official

Name

Mr. Robert Farrell

Title

Practice Administrator

Phone

(231) 487-9759

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Internal Medicine of NM

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Internal Medicine of Northern Michigan PLLC

  • Internal Medicine Physician
  • Petoskey, MI
  • NPI 1467420901
  NPPES parent name

Practitioners 2

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

• Paul D Blanchard, M.D.

  • Internal Medicine Physician
  • Petoskey, MI
  • NPI 1588661086
  NPD
• Mark Alan Richmond, MD

  • Internal Medicine Physician
  • Petoskey, MI
  • NPI 1144227653
  NPD

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1801150453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST",
            "address_2": "SUITE 300",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702275",
            "telephone_number": "231-487-2460",
            "fax_number": "231-487-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST",
            "address_2": "SUITE 300",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702275",
            "telephone_number": "231-487-2460",
            "fax_number": "231-487-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF NORTHERN MICHIGAN LABORATORY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERNAL MEDICINE OF NORTHERN MICHIGAN",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "231-487-9759",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0B40023",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Infinity Eye Care, Inc
• Catherine Ann Ingalls, DPT
• Kelly Scolnick Ingleson, L.P.C
• Integrative Cardiovascular Health & Wellness
• Integrative Specialty Care of Northern Michigan
• Internal Medicine of Northern Michigan PLLC
• Irb Medical Equipment LLC
• Heather Renee Irish, LPC
• Timothy J Ismond, D.O.
• Amy Jackson

• Clinical Medical Laboratory in Petoskey, MI
• Providers in Petoskey, 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 Jun 28, 2012; 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.