Medical Laboratories of Eastern Iowa LC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

16D0673649 Issued in IA

Legal business name

MEDICAL LABORATORIES OF EASTERN IOWA LC

Practice address

855 A Ave NE
Cedar Rapids, IA 52402-5057

Phone

(319) 369-7796

NPI assigned

Mar 3, 2010

Last updated

Mar 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theodore E Townsend Jr.

Title

President/Ceo

Phone

(319) 369-7203

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1477876514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025057",
            "telephone_number": "319-369-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025057",
            "telephone_number": "319-369-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL LABORATORIES OF EASTERN IOWA LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "319-369-7203",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IA",
            "license": "16D0673649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Meade, LMSW
• Kyle Mecham
• Med Trans Logistics LLC
• Med-Trans Corporation
• Medical Laboratories of Eastern Iowa (Medlabs)
• Kristine J Medin, DDS
• Stephanie Marie Meeker, MSW, LISW, CADC
• Leeanne Mehring-Cruz
• Tamara J Meier, NP
• Raeann Meling

• Clinical Medical Laboratory in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Clinical Medical Laboratory in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.