Phadia Us INC.
Clinical Medical Laboratory in Portage, MI. Organization (NPI-2).
NPI number1487979142
StatusActive
Last updated in NPPESApr 6, 2010
Details
- NPI
- 1487979142
- Entity type
- Organization (NPI-2)
- Legal business name
- Phadia Us INC.
- Organization subpart
- No
- Enumeration date
- Apr 6, 2010
- Last updated
- Apr 6, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 23D1088923 | MI | Yes |
Other names
- Phadia Immunology Reference Lab (Doing Business As)
Practice location
4169 Commercial AvePortage, MI 49002-9701
Phone 800-346-4364 · Fax 877-675-4946
Mailing address
4169 Commercial AvePortage, MI 49002-9701
Phone 800-346-4364 · Fax 877-675-4946
Authorized official
Jim Palmere
Vp Finance & Operations
2694921959
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