Organization
MEDICAL LABORATORIES OF EASTERN IOWA LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE E TOWNSEND JR. (PRESIDENT/CEO)
(319) 369-7203
Entity
Organization
Contact information
Practice address
855 A AVE NE, CEDAR RAPIDS, IA 52402-5057
(319) 369-7796
Mailing address
855 A AVE NE, CEDAR RAPIDS, IA 52402-5057
(319) 369-7796
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
16D0673649
IA
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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