Organ Procurement Agency of Michigan

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23D0366620 Issued in MI

Legal business name

ORGAN PROCUREMENT AGENCY OF MICHIGAN

Doing business as

Gift of Life Michigan

Practice address

3861 Research Park Dr
Ann Arbor, MI 48108-2217

Phone

(734) 973-1577

Fax

(734) 973-2977

NPI assigned

Oct 14, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Ladora Dils

Title

Ceo

Phone

(734) 922-1094

Specialties & licenses 1

Addresses

Other names 1

• Gift of Life Michigan Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Gift of Life Michigan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Organ Procurement Agency of Michigan

  dba Gift of Life Michigan

  • Organ Procurement Organization
  • Ann Arbor, MI
  • NPI 1245757756
  NPD tax ID

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1972755676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3861 RESEARCH PARK DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082217",
            "telephone_number": "734-973-1577",
            "fax_number": "734-973-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3861 RESEARCH PARK DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082217",
            "telephone_number": "734-973-1577",
            "fax_number": "734-973-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORGAN PROCUREMENT AGENCY OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "DILS",
        "authorized_official_first_name": "LADORA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-922-1094",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D0366620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gift of Life Michigan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gift of Life Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meghan Oram Modlin, DO
• Daniel Stephen Oram, M.D.
• Piroska Orban, PA
• Rachel Marie Orfei, AGCNS-BC
• Organ Procurement Agency of Michigan (Gift of Life Michigan)
• Carissa Aurora Orizondo, M.D.
• Jeremy Charles Orlando, PT, DPT
• Laurel Marie Demarois Orlando
• Elizabeth Ann Orlowski, NP
• Nina Orlowski, LLMSW

• Clinical Medical Laboratory in Ann Arbor, MI
• Providers in Ann Arbor, 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 Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.