Provider Demographics
NPI:1699572453
Name:UNITED EXAMINATION SERVICES, LLC
Entity type:Organization
Organization Name:UNITED EXAMINATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:GERARDY
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:517-420-8736
Mailing Address - Street 1:5311 S PINE SLOPE CT SW
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-9642
Mailing Address - Country:US
Mailing Address - Phone:517-420-8736
Mailing Address - Fax:
Practice Address - Street 1:2000 BURTON ST SE STE G
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-4670
Practice Address - Country:US
Practice Address - Phone:517-420-8736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical