MATERNAL-FETAL MEDICINE ASSOCIATES, P.C.
NPI 1396943858
Specialist in Grand Rapids, MI
- Organization
- Specialist
- CLIA Number: 23D0906468
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-01-2027
About MATERNAL-FETAL MEDICINE ASSOCIATES, P.C.
This page provides the complete NPI Profile along with additional information for Maternal-fetal Medicine Associates, P.c., a provider established in Grand Rapids, Michigan operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1396943858 assigned on July 2007. The practitioner's primary taxonomy code is 174400000X with license number 4301062864 (MI). The provider is registered as an organization and their NPI record was last updated 6 years ago. Maternal-fetal Medicine Associates, P.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Thomas Nicholas Balaskas M.d. (Ceo)
- NPI
- 1396943858 Verify this NPI
- Provider Name
- MATERNAL-FETAL MEDICINE ASSOCIATES, P.C.
- Entity Type
- Organization
- Location Address
- 1000 E PARIS AVE SE SUITE 210 GRAND RAPIDS, MI 49546
- Location Phone
- (616) 285-3310
- Location Fax
- (616) 285-3266
- Mailing Address
- 1000 E PARIS AVE SE SUITE 210 GRAND RAPIDS, MI 49546
- Mailing Phone
- (616) 285-3310
- Mailing Fax
- (616) 285-3266
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-06-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 4301062864
- License State
- MI
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 23D0906468
- Facility Type
- Physician Office
- Certificate Effective Date
- October 02, 2025
- Certificate Expiration Date
- October 01, 2027
- Laboratory Director
- THOMAS N. BALASKAS MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Maternal-fetal Medicine Associates, P.c. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396943858, enumerated as an "organization" on July 06, 2007.
The provider is located at 1000 E PARIS AVE SE SUITE 210 GRAND RAPIDS, MI 49546 and the phone number is (616) 285-3310.
Specialist with taxonomy code 174400000X.
