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STATE UNIVERSITY OF IOWA NPI 1851371561


NPI Information

NPI: 1851371561
Provider Name: STATE UNIVERSITY OF IOWA

Other Name: STATE HYGIENIC LABORATORY AT THE UNIVERSITY OF IOWA

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 16D2222265

Address:
2490 CROSSPARK RD
CORALVILLE, IA
ZIP 52241
Phone: (319) 335-4500
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STATE UNIVERSITY OF IOWA is a clinical medical laboratory in Coralville, IA. 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. STATE UNIVERSITY OF IOWA NPI is 1851371561. The provider is registered as an organization entity type.
The provider Other Name Is State Hygienic Laboratory At The University Of Iowa.

The provider's business location address is:

2490 CROSSPARK RD
CORALVILLE, IA
ZIP 52241-721
Phone: (319) 335-4500
Fax: (319) 335-4171

The provider's authorized official is Wade K Alsous .
The authorized official title is Clinic Lab Directo and has the following contact phone number (319) 335-4500.

The CLIA number assigned to this NPI record is 16D2222265 - public health laboratories with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 9/19/2014.


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 LaboratoryNONEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10680447MEDICAIDIOWA
25580770MEDICAIDIOWA
3410567200MEDICAIDIOWA
4WELLMARKOTHERIOWAWELLMARK INSURANCE #
529655MEDICARE ID-TYPE UNSPECIFIEDIOWA
6703280602MEDICAIDIOWA
717010MEDICAIDIOWA
8200394010AMEDICAIDIOWA
932906000MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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