Organization Active NPI

Labase LLC

  • Community/Behavioral Health Agency
  • Marion, IA
National Provider Identifier
1063278760
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LABASE LLC
Practice address
2810 25TH Ave
Marion, IA 52302-1311
Phone
(319) 777-8705
NPI assigned
Feb 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lucas Mwita
Title
Ceo
Phone
(319) 777-8705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2810 25TH Ave
Marion, IA 52302-1311

Mailing address

5249 N Park PL NE # 1070
Cedar Rapids, IA 52402-6210

Other practice location 1

3911 Richard Dr NE
Cedar Rapids, IA 52402-2853
Phone (319) 777-8705

Other names 1

  • LABASE LIVING Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1063278760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 N PARK PL NE # 1070",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 25TH AVE",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523021311",
            "telephone_number": "319-777-8705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3911 Richard Dr NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524022853",
            "country_code": "US",
            "telephone_number": "319-777-8705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LABASE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "MWITA",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-777-8705"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABASE LIVING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LABASE LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.