Organization
CEDARVILLE COMMONS, INC.
Active
Organization
CEDARVILLE COMMONS, INC.
Active
Other names
Cedar Cove - Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS NOBEL (PRESIDENT)
(906) 484-1001
Entity
Organization
Contact information
Practice address
266 MARY L STREET, CEDARVILLE, MI 49719
(906) 484-1001
Mailing address
266 MARY L STREET, CEDARVILLE, MI 49719
(906) 484-1001
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D1075173
MI
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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