Organization
ST. LUKE'S METHODIST HOSPITAL LAB
Active
Parent organization
ST LUKE'S METHODIST HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKE'S METHODIST HOSPITAL
Authorized official
MICHELLE NIERMANN (PRESIDENT/CEO)
(319) 369-8873
Entity
Organization
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7211
Mailing address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7211
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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