NPIMap

Organization Active NPI

Cross Medical Laboratories LLP

  • Clinical Medical Laboratory
  • Iowa City, IA
National Provider Identifier
1164598041
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CROSS MEDICAL LABORATORIES LLP
Practice address
321 E Market St Ste 102
Iowa City, IA 52245-2176
Phone
(319) 337-7284
Fax
(319) 337-7284
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Lori D Havel
Title
Billing Supervisor
Phone
(319) 337-7284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

321 E Market St Ste 102
Iowa City, IA 52245-2176

Mailing address

PO Box 1390
321 E Market St, Suite 102
Iowa City, IA 52244-1390
Phone (319) 337-7284

Other identifiers 1

IdentifierTypeStateIssuer
0002436MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040305001002 IA Part B Supplier - Independent Clinical Laboratory 0941198576 Practice locations: Iowa City, IA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0386471Cross Medical Laboratories LLP321 E Market Street, Suite 102, Iowa City, IA 52245ComplianceDec 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cross Medical Laboratories LLP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1164598041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1390",
            "address_2": "321 E MARKET ST, SUITE 102",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522441390",
            "telephone_number": "319-337-7284",
            "fax_number": "319-337-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E MARKET ST STE 102",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452176",
            "telephone_number": "319-337-7284",
            "fax_number": "319-337-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS MEDICAL LABORATORIES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "HAVEL",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "319-337-7284"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002436",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.