Organization
COLLABORATIVE LABORATORY SERVICES LLC
Active
Organization
COLLABORATIVE LABORATORY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1005 PENNSYLVANIA AVE, SUITE 102, OTTUMWA, IA 52501-6413
(641) 684-4621
(641) 682-8976
Mailing address
1005 PENNSYLVANIA AVE, SUITE 102, OTTUMWA, IA 52501-6408
(641) 684-4621
(641) 682-8976
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
16D0387097
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186841
—
IA
01
—
1023119120
RENDERING PROVIDER
IA
Enumeration date
09/29/2006
Last updated
06/17/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up