State University of Iowa
NPI #1851371561 in Coralville, Iowa
Provider Information
- NPI Number
- 1851371561
- Entity Type
- Organization
- Organization Name
- State University of Iowa
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jan 19, 2006
- Last Updated
- Sep 19, 2014
Practice Location
- Address
- 2490 CROSSPARK RD
- City
- Coralville
- State
- Iowa
- ZIP Code
- 52241-4721
- Phone
- (319) 335-4500
Authorized Official
- Name
- MR. WADE K ALSOUS, PHD
- Title
- CLINIC LAB DIRECTO
- Phone
- (319) 335-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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