Organization
CENTRAL IOWA HOSPITAL CORPORATION
Active
Other names
PATHOLOGY LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID STARK (CEO)
(515) 241-6507
Entity
Organization
Contact information
Practice address
3001 SE CONVENIENCE BLVD UNIT 104, ANKENY, IA 50021-8503
(515) 241-8878
(515) 241-8857
Mailing address
3001 SE CONVENIENCE BLVD UNIT 104, ANKENY, IA 50021-8503
(515) 241-8878
(515) 241-8857
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
16D0383397
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198945
—
IA
Enumeration date
11/22/2005
Last updated
11/08/2022
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