Organization
UNITED CLINICAL LABORATORIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW D VANDERHEYDEN MD (MEDICAL DIRECTOR)
(563) 556-2010
Entity
Organization
Contact information
Practice address
205 BLUFF ST, SUITE 1, DUBUQUE, IA 52001-6979
(563) 556-2010
(563) 556-0986
Mailing address
205 BLUFF ST, DUBUQUE, IA 52001-6979
(563) 556-2010
(563) 556-0986
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
16D0648073
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002493
—
IA
Enumeration date
05/24/2005
Last updated
07/29/2013
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