Collaborative Laboratory Services Llc

LBN: Collaborative Laboratory Services Llc
Collaborative Laboratory Services Llc is an health care organization with primary practice located at 1005 Pennsylvania Ave Suite 102, Ottumwa IA 52501-6413. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Collaborative Laboratory Services Llc can be contacted via phone (641) 684-4621, or through Lawrence, Charlotte via phone (615) 920-7000.

Contact Information

Primary practice address
1005 Pennsylvania Ave Suite 102 Ottumwa IA 52501-6413
Phone: (641) 684-4621
Fax: (641) 682-8976
Website:
Map and Directions
Authorized official contact:
Name: Lawrence, Charlotte
Phone: (615) 920-7000

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 16D0387097 Iowa

Profile Details

NPI number 1871685628
LBN Legal business name Collaborative Laboratory Services Llc
DBA Doing business as
Authorized official Lawrence, Charlotte
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2006
Last updated Jun 17th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871685628 NPPES
Iowa Other 1023119120 RENDERING PROVIDER
Iowa MEDICAID 0186841 RENDERING PROVIDER

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