Recovery Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

16D2016890 Issued in IA

Legal business name

RECOVERY LABORATORY, LLC

Practice address

608 North St
Adair, IA 50002-1126

Phone

(515) 298-7209

Fax

(515) 864-0408

NPI assigned

Aug 12, 2014

Organization subpart

Yes

Parent organization

ST. GREGORY CENTERS HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Michael J Vasquez

Title

Ceo

Phone

(515) 865-5664

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1154730463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 FLEUR DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503212883",
            "telephone_number": "515-298-7209",
            "fax_number": "515-864-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NORTH ST",
            "city": "ADAIR",
            "state": "IA",
            "postal_code": "500021126",
            "telephone_number": "515-298-7209",
            "fax_number": "515-864-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY LABORATORY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. GREGORY CENTERS HOLDINGS, LLC",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-865-5664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IA",
            "license": "16D2016890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adair Healthcare Center
• Adair-Casey Community School District
• Guthrie County Hospital
• Lindsay Jahde
• Nicolette R Lovitt, APRN
• St. Gregory Recovery Center, LLC
• Summit BHC Iowa, LLC
• Summit Builders

• All providers in Adair, IA
• Clinical Medical Laboratory in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.