Mississippi Valley Regional Blood Center

LBN: Impactlife
Mississippi Valley Regional Blood Center is an health care organization with primary practice located at 5500 Lakeview Pkwy , Davenport IA 52807-3481. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Impactlife can be contacted via phone (563) 359-5401, or through Klocke, Darren via phone (563) 823-4109.

Contact Information

Primary practice address
5500 Lakeview Pkwy Davenport IA 52807-3481
Fax:
Website:
Authorized official contact:
Name: Klocke, Darren

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 16D0387118 Iowa

Profile Details

NPI number 1821069493
LBN Legal business name Impactlife
DBA Doing business as Mississippi Valley Regional Blood Center
Authorized official Klocke, Darren
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2006
Last updated Aug 4th, 2022 - about 2 years 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 1821069493 NPPES
Iowa MEDICAID 0243113

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