| NPI | 1144201591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER ALAN NEVLING Owner 319-754-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IA 1601011985) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-08-22 |