IMMUCOR DX
NPI 1669840674
Clinical Medical Laboratory in Grand Rapids, MI

NPI Status: Active since September 08, 2015

Contact Information

301 MICHIGAN ST NE
SUITE 580
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 284-3818
Fax: (616) 284-3838

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  • Organization
  • Clinical Medical Laboratory

About IMMUCOR DX

This page provides the complete NPI Profile along with additional information for Immucor Dx, a provider established in Grand Rapids, Michigan operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1669840674 assigned on September 2015. The practitioner's primary taxonomy code is 291U00000X with license number 23D1054909 (MI). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Immucor Dx. The authorized official of this NPI record is Ms. Margaret Taylor (Vice President, Chief Administrativ)

NPI
1669840674
Provider Legal Name
IMMUCOR GTI DIAGNOSTICS, INC.
Other Organization Name
IMMUCOR DX
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
301 MICHIGAN ST NE SUITE 580 GRAND RAPIDS, MI 49503
Location Phone
(616) 284-3818
Location Fax
(616) 284-3838
Mailing Address
301 MICHIGAN ST NE STE 574 GRAND RAPIDS, MI 49503
Mailing Phone
(616) 284-3818
Mailing Fax
(616) 284-3838
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2015
Last Update Date
04-15-2021
Code Navigator

Establishments like Immucor Dx are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
23D1054909
License State
MI
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MARGARET TAYLOR

Authorized Official Title
VICE PRESIDENT, CHIEF ADMINISTRATIV
Authorized Official Phone
(770) 225-8501

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
156426MEDICAID (05)AZ 
L00526MEDICAID (05)SC 
7100431260MEDICAID (05)KY 
1669840674MEDICAID (05)MI 
1571OTHER (01)MDSTATE LICENSE
201131960AMEDICAID (05)KS 
23D1054909OTHER (01)MICLIA CERTIFICATION
800028023OTHER (01)FLSTATE LICENSE
COS00800270OTHER (01)CASTATE LICENSE
031049OTHER (01)PASTATE LICENSURE
LCO00995OTHER (01)RISTATE LICENSE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669840674
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261291640614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 6 + 4 + 0 + 6 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1669840674 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497924773DR. MARY LISA PAGNUCCO RPH, PHARMD, BCACP
Individual
Pharmacist301 MICHIGAN ST NE PHYSICIAN ASSISTANT STUDIES, SUITE 164
GRAND RAPIDS, MI 49503
(616) 331-5985
1437694197MRS. RACHEL CARTER OTR/L
Individual
Occupational Therapist301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-5700
1831725399SPECTRUM HEALTH HOSPITAL
Organization
General Acute Care Hospital301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 391-1774
1184240376 KAYLA INNIS
Individual
Registered Nurse301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-5736
1730961541 ASHLEY WEDNIESKI RN
Individual
Registered Nurse301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-3558
1558185686MS. HANNAH GABRIELLE SALK PA
Individual
Physician Assistant301 MICHIGAN ST NE SUITE 200
GRAND RAPIDS, MI 49503
(616) 331-5700
1083439236 CHLOE ROSE MURPHY
Individual
Student in an Organized Health Care Education/Training Program301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-2729
1043036023 RILEY GRABER PA
Individual
Physician Assistant301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-5700
1083430052 SOPHIA MARIE HAMELINK
Individual
Physician Assistant301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-5700
1164248142 MASON J VREDEVELD
Individual
Physician Assistant301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-5700
1174349153 WHITNEY PAIGE MCKEE PA
Individual
Physician Assistant301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-5700
1235955212 KENDRA WURM
Individual
Physician Assistant301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-5700
1356167332 LAUREN HARMON
Individual
Physician Assistant301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-5700
1386460350 GARRETT JAMES FALK PA
Individual
Physician Assistant301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-5999
1396561379 CHRISTIAN CLEMANS
Individual
Physician Assistant301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-5700
1427874403 MARGARET CRAW
Individual
Physician Assistant301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-5700
1528884509MS. COURTNEY HUBER
Individual
Physician Assistant301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-5700
1538985510 RACHEL MARIE GLOVATSKY
Individual
Physician Assistant301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-5700
1801612874 MAKINNI MARIE KORNAK-KOTARBA
Individual
Physician Assistant301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-5700
1962228940 NICHOLAS BROUGH
Individual
Physician Assistant301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 331-5700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669840674, enumerated in the NPI registry as an "organization" on September 08, 2015

The provider is located at 301 Michigan St Ne Suite 580 Grand Rapids, Mi 49503 and the phone number is (616) 284-3818

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 08, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.