Organization · Type 2 NPI

W. A. Foote Memorial Hospital, Inc

Clinical Medical Laboratory · Jackson, MI

NPI number 1124523915 Active

Practice location

900 E Michigan Ave
Jackson, MI 49201-2457

Call (517) 205-2101 Map

Fax (517) 205-0122

Mailing address

PO Box 67000
Detroit, MI 48267-0002

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

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 det…

13 other providers at this address

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NPI record

NPI: 1124523915
Entity type: Organization (Type 2)
Issued: Mar 26, 2018
Last updated: Mar 26, 2018
Status: Active

Other names

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Henry Ford Allegiance Health · doing business as
Henry Ford Allegiance Health · doing business as

Authorized official

Kevin Leonard
VP Finance
(517) 205-7843

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124523915

W. A. Foote Memorial Hospital, Inc's National Provider Identifier is 1124523915, issued on Mar 26, 2018. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Jackson, MI. The record was last updated on Mar 26, 2018.