Organization Active NPI

Bridges to Betterment

  • Clinical Medical Laboratory
  • West Des Moines, IA
National Provider Identifier
1114474590
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BRIDGES TO BETTERMENT
Practice address
1211 Vine St
West Des Moines, IA 50265-4472
Phone
(888) 778-5833
NPI assigned
Sep 2, 2016
Last updated
Sep 2, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
BRIDGES OF IOWAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Authorized official

Name
Lawrence Edward James Sr., JD
Title
Chairman
Phone
(515) 491-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

1211 Vine St
West Des Moines, IA 50265-4472

Mailing address

1211 Vine St
West Des Moines, IA 50265-4472

National Provider Directory

National Provider Directory
Part of
Bridges of Iowa

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1114474590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 VINE ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502654472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 VINE ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502654472",
            "telephone_number": "888-778-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES TO BETTERMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIDGES OF IOWA",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "515-491-2400",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.