PHADIA US INC. (NPI# 1487979142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487979142 |
| Entity Type | Organization |
| Organization Name | PHADIA US INC. |
| Other Organization Name | PHADIA IMMUNOLOGY REFERENCE LAB |
| Practice Address |
4169 Commercial Ave Portage MI 49002-9701 |
| Practice Telephone | 8003464364 |
| Practice Fax Number | 8776754946 |
| Mailing Telephone | 8003464364 |
| Mailing Fax Number | 8776754946 |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-04-06 |
| Authorized Official Name | MR. JIM PALMERE (VP FINANCE & OPERATIONS) |
| Authorized Official Telephone | 2694921959 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 23D1088923 | MI | Laboratories |
| Other Name | Type Code |
|---|---|
| Phadia Immunology Reference Lab | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHADIA US INC. | 4169 Commercial Ave, Portage, MI 49002-9701 |
| Colorado Business Entities | Phadia US Inc. | 4169 Commercial Ave, Portage, MI 49002 |
| Washington State Corporations | PHADIA US INC. | 4169 Commercial Ave, Portage, MI 49002-9701 |
| Iowa Business Entities | PHADIA US INC. | 4169 Commercial Ave, Portage, MI 49002 |
| New York State Corporations | PHADIA US INC. | 1218 Central Ave, Ste 100, Albany, Ny 12205 |
| Massachusetts Corporations | PHADIA US INC. | 4169 Commercial Ave., Portage, MI 49002 |
| Indiana Business Entities | PHADIA US INC. | 4169 Commercial Dr, Portage, MI 49002-9701 |
| Street Address |
4169 COMMERCIAL AVE |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
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| 1437524501 | Mercy Midwest LLC | Clinical Medical Laboratory | 5714 Central Ave, Portage, IN 46368-2949 | 2015-12-01 |
| 1063724870 | Leisure Living Management of Portage, Inc. | Clinical Medical Laboratory | 7818 Kenmure Dr, Portage, MI 49024-5082 | 2010-07-09 |
| 1134256415 | Conemaugh Health Initiatives | Clinical Medical Laboratory | 3670 Portage St, Suite 105, Portage, PA 15946-6546 | 2007-02-27 |
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| 1720617947 | Covenant Pathology Associates, PC | Clinical Medical Laboratory | 4707 Mcleod Dr E, Saginaw, MI 48604-2853 | 2020-04-08 |
| 1134757339 | Vibra of Southeastern Michigan, LLC | Clinical Medical Laboratory | 1307-a Allen Drive, Troy, MI 48083-4010 | 2020-04-01 |
| 1972137560 | Functional Fluidics LLC | Clinical Medical Laboratory | 440 Burroughs St Ste 641, Detroit, MI 48202-3474 | 2020-02-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.