Central Iowa Hospital Corporation
Clinical Medical Laboratory in Ankeny, IA. Organization (NPI-2).
NPI number1962485136
StatusActive
Last updated in NPPESNov 8, 2022
Details
- NPI
- 1962485136
- Entity type
- Organization (NPI-2)
- Legal business name
- Central Iowa Hospital Corporation
- Organization subpart
- No
- Enumeration date
- Nov 22, 2005
- Certification date
- Nov 8, 2022
- Last updated
- Nov 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 16D0383397 | IA | Yes |
Other names
- Pathology Laboratory (Doing Business As)
Practice location
3001 Se Convenience Blvd Unit 104Ankeny, IA 50021-8503
Phone 515-241-8878 · Fax 515-241-8857
Mailing address
3001 Se Convenience Blvd Unit 104Ankeny, IA 50021-8503
Phone 515-241-8878 · Fax 515-241-8857
Other practice locations
3625 N Ankeny Blvd Ste G
Ankeny, IA 50023-4611
Ankeny, IA 50023-4611
Phone 515-965-4670
Authorized official
David Stark
Ceo
5152416507
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