Organization Active NPI

Oliver Woods Retirement Village, LLC

  • Clinical Medical Laboratory
  • Owosso, MI
National Provider Identifier
1508181629
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
23D1102234 Issued in MI
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

Updated by the provider on Mar 31, 2010

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.