Organization
BARUCH SLS, INC.
Active
Parent organization
BARUCH SLS, INC.
Other names
Georgetown & Cambridge Manors - Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
BARUCH SLS, INC.
Authorized official
CONNIE L CLAUSON (VP OPERATIONS)
(616) 285-0573
Entity
Organization
Contact information
Practice address
141 PORT SHELDON RD SW, GRANDVILLE, MI 49418-2149
(616) 457-6010
Mailing address
3196 KRAFT AVE SE STE 203, GRAND RAPIDS, MI 49512-2065
(616) 285-0573
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
23D1080303
MI
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D1080303
CLIA
MI
Enumeration date
10/20/2009
Last updated
09/25/2020
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