Organization
WELAND CLINICAL LABORATORIES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WOLTMAN M.D. (PRESIDENT)
(319) 366-1503
Entity
Organization
Contact information
Practice address
1911 1ST AVE SE, CEDAR RAPIDS, IA 52402-5320
(319) 366-1503
(319) 366-6976
Mailing address
PO BOX 1924, CEDAR RAPIDS, IA 52406-1924
(319) 366-1503
(319) 366-6976
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0258749
—
IA
01
—
690004433
RAILROAD MEDICARE
—
05
—
706127008
—
MO
Enumeration date
08/16/2005
Last updated
02/14/2022
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