OrganizationActive
Leisure Living Management of Portage, Inc.
NPI 1063724870 · Clinical Medical Laboratory · Portage, MI
Leisure Living Management of Portage, Inc. is a Clinical Medical Laboratory organization in Portage, MI (NPI 1063724870).
Provider details
- NPI number
- 1063724870
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Thomas Nobel, President(269) 327-9595
- License
- 23D0975380 (MI)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7818 Kenmure Dr
Portage, MI 49024-5082
Phone: (269) 327-9595
Street-level locationGet directions
Mailing address
7818 Kenmure Dr
Portage, MI 49024-5082
Other names (DBA / former)
- Doing business as
- Fountain View of Portage - Laboratory
Registry dates
- Enumerated
- 2010-07-09
- Last updated
- 2010-07-09
Frequently asked questions
- What is Leisure Living Management of Portage, Inc.'s NPI number?
- Leisure Living Management of Portage, Inc.'s National Provider Identifier (NPI) is 1063724870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Leisure Living Management of Portage, Inc.?
- Leisure Living Management of Portage, Inc. is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Leisure Living Management of Portage, Inc. located?
- Leisure Living Management of Portage, Inc.'s practice location on file with NPPES is 7818 Kenmure Dr, Portage, MI 49024-5082.
- What is Leisure Living Management of Portage, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Leisure Living Management of Portage, Inc. is (269) 327-9595.
- Who is the authorized official for Leisure Living Management of Portage, Inc.?
- The authorized official listed on Leisure Living Management of Portage, Inc.'s NPPES record is Thomas Nobel, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Leisure Living Management of Portage, Inc.'s NPI active?
- Yes — Leisure Living Management of Portage, Inc.'s NPI (1063724870) is active in the NPPES registry as of the last update on 2010-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.