Iq Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IQ LABORATORIES INC

Practice address

6819 Lima Rd
Fort Wayne, IN 46818-1145

Phone

(260) 407-6216

NPI assigned

Mar 26, 2013

Last updated

Feb 14, 2014By 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

Carey Gross

Title

VP Aucillary Services

Phone

(260) 407-6216

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1851633069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6819 LIMA RD",
            "address_2": "SUITE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181145",
            "telephone_number": "260-407-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6819 LIMA RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181145",
            "telephone_number": "260-407-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IQ LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "VP AUCILLARY SERVICES",
        "authorized_official_telephone_number": "260-407-6216"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taylor Robert Ipsen, DO
• Ajaz Iqbal, MD
• Toni L Irby, HAIR LOSS SPECIALIST
• Dominic Anthony Irelan
• Caitlin Marie Ireland, BS, RBT
• Rex Anthony Ireland, D.C.

• Clinical Medical Laboratory in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.