| Niapath Mobile LLC | |
|
925 Reynard St Se Grand Rapids MI 49507-3613 | |
| (616) 389-5360 | |
| (616) 389-5360 |
| Full Name | Niapath Mobile LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 925 Reynard St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Marion Satta-gable Sarjo (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 6163895360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Niapath Mobile LLC 925 Reynard St Se Grand Rapids MI 49507-3613 Ph: (616) 389-5360 | Niapath Mobile LLC 925 Reynard St Se Grand Rapids MI 49507-3613 Ph: (616) 389-5360 |
| NPI Number | 1649114828 |
|---|---|
| Provider Enumeration Date | 04/16/2026 |
| Last Update Date | 08/10/2026 |
| Certification Date | 08/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649114828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (NU) | Secondary |
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