OrganizationActive
Spectrum Health Primary Care Partners
NPI 1528374683 · Radiology Clinic/Center · Grand Rapids, MI
Provider details
- NPI number
- 1528374683
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Spectrum Health Primary Care Partners
- Organization subpart
- Yes
- Authorized official
- Pauline Krywanski, Svp(616) 486-2253
Specialties & taxonomies
Ambulatory Health Care Facilities
Technologists, Technicians & Other Technical Service Providers
Practice location
4100 Lake Dr Se
Suite 102
Grand Rapids, MI 49546-8292
Phone: (616) 974-4800
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Other names (DBA / former)
- Doing business as
- Corewell Health Medical Group West Imaging
Registry dates
- Enumerated
- 2010-08-27
- Last updated
- 2023-10-26
- Certified
- 2023-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.