| NPI | 1063724870 |
|---|---|
| Doing Business As | FOUNTAIN VIEW OF PORTAGE - LABORATORY |
| Entity Type | Organization |
| Authorized Contact | THOMAS NOBEL President 269-327-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D0975380) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |