Organization
STATE UNIVERSITY OF IOWA
Active
Organization
STATE UNIVERSITY OF IOWA
Active
Parent organization
STATE UNIVERSITY OF IOWA
Other names
University of Iowa Diagnostic Laboratories
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE UNIVERSITY OF IOWA
Authorized official
DR. JOHN D KEMP MD (DIRECTOR OF LABORATORIES)
(319) 384-9611
Entity
Organization
Contact information
Practice address
200 HAWKINS DR, C662GH, IOWA CITY, IA 52242-1009
(319) 384-9647
(319) 384-5184
Mailing address
200 HAWKINS DR, C662GH, IOWA CITY, IA 52242-1009
(319) 384-9647
(319) 384-5184
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0291393
—
IA
05
—
0600585
—
IA
01
—
17410
BCBS
IA
01
—
33898
WELLMARK
IA
Enumeration date
10/06/2005
Last updated
10/23/2007
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