Organization Active NPI

Ludington Woods Retirement Village

Doing business as Ludington Woods Retirement Village - Laboratory

  • Clinical Medical Laboratory
  • Ludington, MI
National Provider Identifier
1528370335
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
23D1102192 Issued in MI
Legal business name
LUDINGTON WOODS RETIREMENT VILLAGE
Doing business as
Ludington Woods Retirement Village - Laboratory
Practice address
502 N Sherman St
Ludington, MI 49431-1989
Phone
(231) 845-6100
NPI assigned
Jul 9, 2010
Last updated
Mar 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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
(231) 845-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 23D1102192 MI Primary

Addresses

Primary practice location

502 N Sherman St
Ludington, MI 49431-1989

Mailing address

502 N Sherman St
Ludington, MI 49431-1989
Phone (231) 845-6100

Other names 1

  • Ludington Woods Retirement Village - Laboratory Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1102192Ludington Woods Retirement Village502 N Sherman Street, Ludington, MI 49431Certificate of waiverAug 5, 2026

National Provider Directory

National Provider Directory

Locations

502 N Sherman St
Ludington, MI 49431
Phone (231) 845-6100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1528370335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N SHERMAN ST",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311989",
            "telephone_number": "231-845-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N SHERMAN ST",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311989",
            "telephone_number": "231-845-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDINGTON WOODS RETIREMENT VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "NOBEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-845-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D1102192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ludington Woods Retirement Village - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.