Organization
RECOVERY LABORATORY, LLC
Active
Organization
RECOVERY LABORATORY, LLC
Active
Parent organization
ST. GREGORY CENTERS HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. GREGORY CENTERS HOLDINGS, LLC
Authorized official
MR. MICHAEL J VASQUEZ (CEO)
(515) 865-5664
Entity
Organization
Contact information
Practice address
608 NORTH ST, ADAIR, IA 50002-1126
(515) 298-7209
(515) 864-0408
Mailing address
5875 FLEUR DR, DES MOINES, IA 50321-2883
(515) 298-7209
(515) 864-0408
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
16D2016890
IA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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