Organization
PHYSICIANS' CLINIC OF IOWA, PC
Active
Parent organization
PHYSICIANS' CLINIC OF IOWA, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIANS' CLINIC OF IOWA, PC
Authorized official
SANDRA J SPARENBORG (FINANCE DIRECTOR)
(319) 247-3003
Entity
Organization
Contact information
Practice address
202 10TH STREET SE, CEDAR RAPIDS, IA 52403-2404
(319) 399-2096
(319) 399-2036
Mailing address
PO BOX 3178, CEDAR RAPIDS, IA 52406-3178
(319) 398-1563
(319) 399-2036
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
16D0386976
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001356
COLA
IA
01
—
16D0386976
CLIA
IA
Enumeration date
12/03/2012
Last updated
07/03/2013
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