NPI 1184550071
Class a Mso LLC
Practice location
- Address
- 1950 Dodge Rd NE STE 106, Cedar Rapids, IA 52402-2411
- Phone
- (319) 768-7000
- Mailing address
- 3315 Williams Blvd SW STE 2-112, Cedar Rapids, IA 52404-1478
Authorised official
- Name
- Stephanie Johnson
- Title
- Owner
- Phone
- (319) 768-7000
Registered specialties (4)
Clinical Medical Laboratory
Primary
Phlebotomy Technician
Clinical Laboratory Director (Non-physician)
Health Service Clinic/Center
Registry record
- NPI
- 1184550071
- Entity type
- Organization
- NPI issued
- 19 Jun 2026
- Record last updated
- 24 Jun 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.