NPIMap

Organization Active NPI

Mercy Health Services-Iowa, Corp

Doing business as MercyOne Laboratory

  • Clinical Medical Laboratory
  • Dubuque, IA
National Provider Identifier
1245846682
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MERCY HEALTH SERVICES-IOWA, CORP
Doing business as
MercyOne Laboratory
Practice address
250 Mercy Dr
Dubuque, IA 52001-7320
Phone
(563) 589-9615
Fax
(563) 589-8606
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Kay Takes
Title
President
Phone
(563) 589-8061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

250 Mercy Dr
Dubuque, IA 52001-7320

Mailing address

600 1St St NW Ste 101
Mason City, IA 50401-2932
Phone (641) 428-3086

Other practice location 1

1111 3rd St SW
Dyersville, IA 52040-1725
Phone (563) 875-2953

Other names 1

  • MercyOne Laboratory Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201123001486 IA Part B Supplier - Independent Clinical Laboratory 9032113410 Practice locations: Dubuque, IA; Dyersville, IA; Maquoketa, IA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Mercy Health Services-Iowa Corp2 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10988 Bartel Blvd
Ste 104
Galena, IL 61036
Phone (815) 777-1024

412 S Main St
Galena, IL 61036
Phone (815) 777-1024

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1245846682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 1ST ST NW STE 101",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012932",
            "telephone_number": "641-428-3086",
            "fax_number": "641-428-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MERCY DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017320",
            "telephone_number": "563-589-9615",
            "fax_number": "563-589-8606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 3rd St SW",
            "address_purpose": "LOCATION",
            "city": "Dyersville",
            "state": "IA",
            "postal_code": "520401725",
            "country_code": "US",
            "telephone_number": "563-875-2953",
            "fax_number": "563-875-2954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY HEALTH SERVICES-IOWA, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "TAKES",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-589-8061"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.