Organization
NORTH HILL LABORATORY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER ALAN NEVLING PA C (OWNER)
(319) 754-1555
Entity
Organization
Contact information
Practice address
825 N 6TH ST, BURLINGTON, IA 52601-4920
(319) 752-8422
(319) 752-4860
Mailing address
825 N 6TH ST, BURLINGTON, IA 52601-4920
(319) 752-8422
(319) 752-4860
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1601011985
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0420570
—
IA
01
—
35428
BLUE CROSS
—
01
—
P00220337
RAILROAD MEDICARE
—
Enumeration date
11/10/2005
Last updated
08/22/2020
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