Asif Poonja

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

16D2247888 Issued in IA

Practice address

1926 Keokuk St
Iowa City, IA 52240-4410

Phone

(847) 220-7242

Fax

(847) 232-3201

NPI assigned

Jan 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jam Equities LLC

  • Clinical Medical Laboratory
  • Iowa City, IA
  • NPI 1891447462
  NPD Authorized official
• Midwest Covid Clinics

  • Clinical Medical Laboratory
  • Iowa City, IA
  • NPI 1407509839
  NPD Authorized official

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1891447769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 N MILWAUKEE AVE UNIT 107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476905",
            "telephone_number": "847-220-7242",
            "fax_number": "847-220-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 KEOKUK ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404410",
            "telephone_number": "847-220-7242",
            "fax_number": "847-232-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POONJA",
        "first_name": "ASIF",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IA",
            "license": "16D2247888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ponto
• Debra S Poole, PA-C
• Randy Ray Poole, D.D.S.
• Emmarie Febe Poolman, ACNPC-AG
• Kathryn Perdaems Poolman
• Kittika Poonsombudlert, MD
• Curtis T Poor, MD
• Felicia Luz Pope, LPC-IT
• Monica Rose Popowski, DDS
• Jeremiah Thomas Poppen

• Clinical Medical Laboratory in Iowa City, IA
• Providers in Iowa City, 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 Jan 21, 2022; 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.