Healthcare Provider Details

I. General information

NPI: 1699572453
Provider Name (Legal Business Name): UNITED EXAMINATION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 BURTON ST SE STE G
GRAND RAPIDS MI
49506-4670
US

IV. Provider business mailing address

5311 S PINE SLOPE CT SW
WYOMING MI
49519-9642
US

V. Phone/Fax

Practice location:
  • Phone: 517-420-8736
  • Fax:
Mailing address:
  • Phone: 517-420-8736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EMILY GERARDY
Title or Position: OWNER
Credential: PA-C
Phone: 517-420-8736