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Organization

CLASS A MSO LLC

Active
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Organization

CLASS A MSO LLC

Active
Other names
Class A DNA & Lab Services
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE JOHNSON (OWNER)
(319) 768-7000
Entity
Organization

Contact information

Practice address
1950 DODGE RD NE STE 106, CEDAR RAPIDS, IA 52402-2411
(319) 768-7000
Mailing address
3315 WILLIAMS BLVD SW STE 2-112, CEDAR RAPIDS, IA 52404-1478
(319) 768-7000

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
247ZC0005X
Clinical Laboratory Director (Non-physician)
261QH0100X
Health Service Clinic/Center
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
06/19/2026
Last updated
06/24/2026
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