Collaborative Laboratory Services Llc, NPI 1871685628
Clinical Medical Laboratory in Ottumwa, IA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1871685628 |
| NPI Entity Type | Organization |
| Provider Name | Collaborative Laboratory Services Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 1005 Pennsylvania Ave, Suite 102, Ottumwa, IA, US |
| Provider Mailing Address | 1005 Pennsylvania Ave, Suite 102, Ottumwa, IA, US, 525016408 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Terrance Dillon |
| Official Position | ASSISTANT SECRETARY |
| Phone | 502-596-7220 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Clinical Medical Laboratory |
| Classification | |
| Group | |
| License No. | 16D0387097 |
| License State | IA |
| Description | (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 0186841 | IA | MEDICAID | 05 |
| 1023119120 | IA | RENDERING PROVIDER | 01 |
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|---|---|---|---|
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PA-C Lisa Wells Individual |
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LISW Travis Underwood Individual |
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LISW Eva Ford Individual |
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DR. MD Moon Ley Tung Individual |
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DR. DO Maggie Diane Seblani Individual |
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DR. MD Bharatendu Chandra Individual |
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PHD Kimberly Chantelle Diah Individual |
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M.D. Nicole Margo Grogan Fleege Individual |
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Anna Marietta Patch Individual |
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DR. M.D. Jorge H Perez-cardona Individual |
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