Organization
LEISURE LIVING MANAGEMENT OF PORTAGE, INC.
Active
Organization
LEISURE LIVING MANAGEMENT OF PORTAGE, INC.
Active
Other names
Fountain View of Portage - Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS NOBEL (PRESIDENT)
(269) 327-9595
Entity
Organization
Contact information
Practice address
7818 KENMURE DR, PORTAGE, MI 49024-5082
(269) 327-9595
Mailing address
7818 KENMURE DR, PORTAGE, MI 49024-5082
(269) 327-9595
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D0975380
MI
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up