NPI 1154572881

Michigan Blood

Organisation Clinical Medical Laboratory Grand Rapids, MI

Practice location

Address: 1036 Fuller Ave NE, Grand Rapids, MI 49503-1304
Phone: (616) 774-2300
Fax: (616) 233-8612
Mailing address: PO Box 1704, Grand Rapids, MI 49501-1704

Authorised official

Name: William J. Rietscha
Title: President/Ceo
Phone: (616) 774-2300

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 23D0724117 (MI)

Other Clinical Medical Laboratory providers in Michigan →

Registry record

NPI: 1154572881
Entity type: Organization
NPI issued: 30 Sep 2008
Record last updated: 12 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.