GRAND RIVER ENDOSCOPY CENTER, L.L.C.
NPI 1043288467
Clinic/Center - Ambulatory Surgical in Grand Rapids, MI

NPI Status: Active since March 10, 2006

Contact Information

310 LAFAYETTE AVE SE
SUITE 200
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 752-5890

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 23D1047028
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 10-24-2025

About GRAND RIVER ENDOSCOPY CENTER, L.L.C.

This page provides the complete NPI Profile along with additional information for Grand River Endoscopy Center, L.l.c., a provider established in Grand Rapids, Michigan operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1043288467 assigned on March 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Holly Sund (Access Asc Billing Team Lead)

NPI
1043288467
Provider Name
GRAND RIVER ENDOSCOPY CENTER, L.L.C.
Entity Type
Organization
Location Address
310 LAFAYETTE AVE SE SUITE 200 GRAND RAPIDS, MI 49503
Location Phone
(616) 752-5890
Mailing Address
310 LAFAYETTE AVE SE SUITE 200 GRAND RAPIDS, MI 49503
Mailing Phone
(616) 752-5890
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-10-2006
Last Update Date
10-25-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QE0800XAmbulatory Health Care Facilities

Clinic/Center
Endoscopy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite Saver Plus - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple PCP Saver - EPO
  • MyPriority Balanced Silver - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HOLLY SUND

Authorized Official Title
ACCESS ASC BILLING TEAM LEAD
Authorized Official Phone
(616) 685-7174

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 127 times for 126 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 149 times for 149 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 71 times for 71 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 54 times for 54 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

This service was performed 78 times for 78 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 23 times for 23 patients

Dilation of esophagus

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

This service was performed 75 times for 75 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

This service was performed 17 times for 17 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 324 times for 324 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D1047028
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
October 25, 2023
Certificate Expiration Date
October 24, 2025
Laboratory Director
KENNETH LOWN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grand River Endoscopy Center, L.l.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043288467, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 4 + 8 + 1 + 6 + 4 + 1 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1043288467.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
310 LAFAYETTE AVE SE, STE 400
GRAND RAPIDS, MI 49503
Specialist
310 LAFAYETTE AVE SE, STE 400
GRAND RAPIDS, MI 49503
Specialist
310 LAFAYETTE AVE SE, STE 400
GRAND RAPIDS, MI 49503
Specialist
310 LAFAYETTE AVE SE, STE 400
GRAND RAPIDS, MI 49503
Specialist
310 LAFAYETTE AVE SE, STE 400
GRAND RAPIDS, MI 49503
Specialist
310 LAFAYETTE AVE SE, STE 400
GRAND RAPIDS, MI 49503
Psychologist (Counseling)
310 LAFAYETTE AVE SE, SUITE 325
GRAND RAPIDS, MI 49503
Specialist
310 LAFAYETTE AVE SE, SUITE 405
GRAND RAPIDS, MI 49503
Psychologist
310 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Internal Medicine (Pulmonary Disease)
310 LAFAYETTE AVE SE, STE 415
GRAND RAPIDS, MI 49503
Social Worker
310 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Adult Health)
310 LAFAYETTE AVE SE, SUITE 400
GRAND RAPIDS, MI 49503
Internal Medicine (Gastroenterology)
310 LAFAYETTE AVE SE, SUITE 400
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
310 LAFAYETTE AVE SE, SUITE 301
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
310 LAFAYETTE AVE SE, SUITE 400
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
310 LAFAYETTE AVE SE, SUITE 400
GRAND RAPIDS, MI 49503
Anesthesiology
310 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Adult Health)
310 LAFAYETTE AVE SE, SUITE 400
GRAND RAPIDS, MI 49503
Psychiatry & Neurology (Psychiatry)
310 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Adult Health)
310 LAFAYETTE AVE SE, STE 410
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043288467, enumerated as an "organization" on March 10, 2006.

The provider is located at 310 LAFAYETTE AVE SE SUITE 200 GRAND RAPIDS, MI 49503 and the phone number is (616) 752-5890.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.