SPECTRUM TRANSPORTION OF GRAND RAPIDS NPI 1467099267

NPI Information

NPI: 1467099267
Provider Name: SPECTRUM TRANSPORTION OF GRAND RAPIDS
Classification: Driver - 172A00000X
Entity Type: Organization

CLIA Number: 23D2140916

Address:
7700 FOX HAVEN CT SE
ADA, MI
ZIP 49301
Phone: (616) 437-2572
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SPECTRUM TRANSPORTION OF GRAND RAPIDS is a driver in Ada, MI. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. SPECTRUM TRANSPORTION OF GRAND RAPIDS NPI is 1467099267. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7700 FOX HAVEN CT SE
ADA, MI
ZIP 49301-637
Phone: (616) 437-2572

The provider's authorized official is Edward L Bates .
The authorized official title is Owner and has the following contact phone number (616) 437-2572.

The CLIA number assigned to this NPI record is 23D2140916 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/30/2019 and was last updated on 11/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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