Active NPI
Oliver Woods Retirement Village, LLC
- Clinical Medical Laboratory
- Owosso, MI
National Provider Identifier
1508181629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 23D1102234
- Legal business name
- OLIVER WOODS RETIREMENT VILLAGE, LLC
- Practice address
- 1310 W Oliver St
Owosso, MI 48867-2156 - Phone
- (989) 729-6060
- NPI assigned
- Mar 31, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Nobel
- Title
- President
- Phone
- (989) 729-6060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 23D1102234 | MI | Primary |
Addresses
Primary practice location
1310 W Oliver St
Owosso, MI 48867-2156
Mailing address
1310 W Oliver St
Owosso, MI 48867-2156
Phone (989) 729-6060
Other names 1
- Oliver Woods Retirement Village - Laboratory
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Durand, MI
- NPI 1689625030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269993600000",
"number": "1508181629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 W OLIVER ST",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488672156",
"telephone_number": "989-729-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 W OLIVER ST",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488672156",
"telephone_number": "989-729-6060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIVER WOODS RETIREMENT VILLAGE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-31",
"last_updated": "2010-03-31",
"status": "A",
"authorized_official_last_name": "NOBEL",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "989-729-6060",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MI",
"license": "23D1102234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oliver Woods Retirement Village - Laboratory",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.