NPIMap

Organization Active NPI

Physicians' Clinic of Iowa, PC

  • Clinical Medical Laboratory
  • Cedar Rapids, IA
National Provider Identifier
1194060186
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
16D0386976 Issued in IA
Legal business name
PHYSICIANS' CLINIC OF IOWA, PC
Practice address
202 10TH Street SE
Cedar Rapids, IA 52403-2404
Phone
(319) 399-2096
Fax
(319) 399-2036
NPI assigned
Dec 3, 2012
Last updated
Jul 3, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PHYSICIANS' CLINIC OF IOWA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Sandra J Sparenborg
Title
Finance Director
Phone
(319) 247-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 16D0386976 IA Primary

Addresses

Primary practice location

202 10TH Street SE
Cedar Rapids, IA 52403-2404

Mailing address

PO Box 3178
Cedar Rapids, IA 52406-3178
Phone (319) 398-1563

Other identifiers 2

IdentifierTypeStateIssuer
001356OtherIACOLA
16D0386976OtherIACLIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128000886 IA Part B Supplier - Clinic/Group Practice 2163325242 Receives reassigned benefits from 164 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vinton, IA; Marion, IA; Cedar Rapids, IA; Manchester, IA; Iowa City, IA; Hiawatha, IA; Independence, IA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
16D0386976Physicians' Clinic of Iowa Laboratory202 10TH Street SE, Cedar Rapids, IA 52403AccreditationDec 22, 2027
16D1073375Unitypoint Health Cardiology Clinic202 10TH Street SE, Suite 225, Cedar Rapids, IA 52403Certificate of waiverSep 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Physicians' Clinic of Iowa PC Dept of Urology12 organizations share this tax ID, including this one
Part of
Physicians' Clinic of Iowa PC Dept of Urology

Other organizations with this tax ID 11

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1194060186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3178",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524063178",
            "telephone_number": "319-398-1563",
            "fax_number": "319-399-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH STREET SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032404",
            "telephone_number": "319-399-2096",
            "fax_number": "319-399-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS' CLINIC OF IOWA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIANS' CLINIC OF IOWA, PC",
        "enumeration_date": "2012-12-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "SPARENBORG",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "319-247-3003"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IA",
            "license": "16D0386976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLA",
            "identifier": "001356",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "16D0386976",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.