NPIMap

Organization Active NPI

Hometown Urgent Care of Michigan, P.C.

Doing business as WellNow Clinical Laboratory

  • Clinical Medical Laboratory
  • Kalamazoo, MI
National Provider Identifier
1891469631
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HOMETOWN URGENT CARE OF MICHIGAN, P.C.
Doing business as
WellNow Clinical Laboratory
Practice address
1634 Gull Rd Ste B
Kalamazoo, MI 49048-1632
Phone
(716) 699-9032
NPI assigned
Aug 5, 2021
Last updated
Aug 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
HOMETOWN URGENT CARE OF MICHIGAN, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
John Radford, MDNPI 1114900909
Title
President
Phone
(716) 699-9032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

1634 Gull Rd Ste B
Kalamazoo, MI 49048-1632

Mailing address

PO Box 500
Ellicottville, NY 14731-0500
Phone (716) 699-9032

Other names 1

  • WellNow Clinical Laboratory Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211018001613 MI Part B Supplier - Independent Clinical Laboratory 8123270840 Practice locations: Kalamazoo, MI

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hometown Urgent Care of Michigan PC4 organizations share this tax ID, including this one
Part of
Hometown Urgent Care of Michigan PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1634 Gull Rd
Ste B
Kalamazoo, MI 49048

Practitioners & affiliated clinicians

Practitioners 246

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 246

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1891469631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "147310500",
            "telephone_number": "716-699-9032",
            "fax_number": "716-699-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 GULL RD STE B",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481632",
            "telephone_number": "716-699-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN URGENT CARE OF MICHIGAN, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMETOWN URGENT CARE OF MICHIGAN, PC",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-699-9032",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellNow Clinical Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 5, 2021; 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.