GRACE HAVEN ASSISTED LIVING LLC NPI 1053636167

NPI Information

  • NPI: 1053636167
  • Provider Name: GRACE HAVEN ASSISTED LIVING LLC
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Doing Business As: GRACE HAVEN ASSISTED LIVING - LABORATORY
  • Address: 1507 GLASTONBURY DR
    SAINT JOHNS, MI
    ZIP 48879
  • Phone: (989) 224-1650

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NPI Details

GRACE HAVEN ASSISTED LIVING LLC is a clinical medical laboratory in Saint Johns, MI. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. GRACE HAVEN ASSISTED LIVING LLC NPI is 1053636167. The provider is registered as an organization entity type.
The provider Is Doing Business As Grace Haven Assisted Living - Laboratory.

The provider's business location address is:

1507 GLASTONBURY DR
SAINT JOHNS, MI
ZIP 48879-235
Phone: (989) 224-1650

The provider's authorized official is Thomas Nobel .
The authorized official title is President and has the following contact phone number (989) 224-1650.

The enumeration date for this NPI number is 3/31/2010 and was last updated on 3/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical Laboratory23D1102195MICHIGANYes

What is NPI?

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This page was last updated on: 11/21/2025

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