Provider Demographics
NPI:1124332606
Name:INTERVENTION INSIGHTS INC.
Entity type:Organization
Organization Name:INTERVENTION INSIGHTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZOET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-949-7500
Mailing Address - Street 1:710 KENMOOR AVE SE
Mailing Address - Street 2:STE 120
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-2379
Mailing Address - Country:US
Mailing Address - Phone:616-949-7500
Mailing Address - Fax:
Practice Address - Street 1:710 KENMOOR AVE SE
Practice Address - Street 2:STE 120
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-2379
Practice Address - Country:US
Practice Address - Phone:616-949-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics