| NPI | 1639727662 |
|---|---|
| Former Legal Business Name | IDX LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN BERTRAND Chief Executive Officer 319-248-5620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2021-04-16 |