Mississippi Valley Laboratory, Llc

LBN: Mississippi Valley Laboratory, Llc
Mississippi Valley Laboratory, Llc is an health care organization with primary practice located at 3400 Dexter Ct Suite 205, Davenport IA 52807-3461. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Mississippi Valley Laboratory, Llc can be contacted via phone (563) 344-6690, or through Farris, Jeanne M via phone (563) 344-6692.

Contact Information

Primary practice address
3400 Dexter Ct Suite 205 Davenport IA 52807-3461
Phone: (563) 344-6690
Fax: (563) 344-6699
Website:
Map and Directions
Authorized official contact:
Name: Farris, Jeanne M MT ASCP
Phone: (563) 344-6692

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1639136187
LBN Legal business name Mississippi Valley Laboratory, Llc
DBA Doing business as
Authorized official Farris, Jeanne M MT ASCP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1639136187 NPPES
Iowa MEDICAID 0142265
Iowa Other 54573

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