Unknown Individual – Cytopathology Physician, NPI 1790771533

Cytopathology Physician

Unknown Individual is a healthcare provider. based in Grandville, Michigan. specializing in Cytopathology Physician. They hold a License No. 4301038373 (MI). The NPI Number for Unknown Individual is 1790771533

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1790771533

Phone

(616) 530-3344

Address

PO BOX 936

Deactivation Date

29 May 2025

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

PO BOX 936
GRANDVILLE, MI 494680936
Phone: (616) 530-3344
Fax: (616) 532-8040
Type: Mailing
2990, Franklin Avenue Southwest, Grandville, Kent County, Michigan, 49418, United States
GRANDVILLE, MI 494183505
Phone: (616) 530-3344
Fax: (616) 532-8040
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49468)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?

NPI numbers are unique to each provider or organization — Unknown Individual uses 1790771533.

Why might Unknown Individual appear inactive while still practicing?

We display what the registry publishes: Unknown Individual appears inactive there.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Cytopathology Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect Unknown Individual on a map?

Expect Grandville, Michigan as a primary anchor for Unknown Individual unless the record lists multiple sites.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.