| NPI | 1639487754 |
|---|---|
| Doing Business As | WOODLAWN MEADOWS RETIREMENT VILLAGE - LABORATORY |
| Entity Type | Organization |
| Authorized Contact | THOMAS NOBEL President 269-948-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D1046098) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |