STATE UNIVERSITY OF IOWA (NPI# 1811984636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811984636 |
| Entity Type | Organization |
| Organization Name | STATE UNIVERSITY OF IOWA |
| Other Organization Name | UNIVERSITY OF IOWA DIAGNOSTIC LABORATORIES |
| Practice Address |
200 Hawkins Dr C662gh Iowa City IA 52242-1009 |
| Practice Telephone | 3193849647 |
| Practice Fax Number | 3193845184 |
| Mailing Telephone | 3193849647 |
| Mailing Fax Number | 3193845184 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2007-10-23 |
| Authorized Official Name | DR. JOHN D KEMP (DIRECTOR OF LABORATORIES) |
| Authorized Official Telephone | 3193849611 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE UNIVERSITY OF IOWA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0600585 | 05 | |
| IA | 0291393 | 05 | |
| IA | BCBS | 17410 | 01 |
| IA | WELLMARK | 33898 | 01 |
| Other Name | Type Code |
|---|---|
| University of Iowa Diagnostic Laboratories | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306304027 | State University of Iowa | Pharmacy | 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 | 2019-03-12 |
| 1710485123 | State University of Iowa | Eye Bank | 2500 Crosspark Rd Ste W300, Coralville, IA 52241-4710 | 2018-01-31 |
| 1811246473 | State University of Iowa | Pharmacy | 105 E 9th Street, Suite A, Coralville, IA 52241 | 2012-08-29 |
| 1548526189 | State University of Iowa | Family Medicine | 767 Mormon Trek Blvd, Iowa City, IA 52246-1812 | 2012-04-09 |
| 1194035436 | State University of Iowa | Durable Medical Equipment & Medical Supplies | 119 2nd St, Ste 400, Coralville, IA 52241-2691 | 2010-10-20 |
| 1013241850 | State University of Iowa | Family Medicine | 1632 Sycamore St, Iowa City, IA 52240-6044 | 2009-09-28 |
| 1053503755 | State University of Iowa | Public Health or Welfare | 100 Hawkins Dr, 247-a Cdd, Iowa City, IA 52242 | 2007-08-16 |
| 1225177579 | State University of Iowa | Registered Nurse | 3501 Harry Langdon Blvd Ste 1450, Child Health Specialty Clinics, Council Bluffs, IA 51503-7837 | 2007-02-05 |
| 1689712549 | State University of Iowa | Audiologist | 250 Hawkins Drive, The University of Iowa, Iowa City, IA 52242-1012 | 2007-02-02 |
| 1609956234 | State University of Iowa | Dentist | 322 Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | STATE UNIVERSITY OF IOWA ALUMNI ASSOCIATION | Po Box 1970, One West Park Rd, Iowa City, IA 52244-1970 |
| Iowa Business Entities | STATE UNIVERSITY OF IOWA FOUNDATION | One West Park Road, Po Box 4550, Iowa City, IA 52244 |
| Street Address |
200 HAWKINS DR C662GH |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425963 | Matthew T Spragg | Emergency Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-05-24 |
| 1205437951 | Jennifer Renee Manternach | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-11-07 |
| 1144821794 | Jannet S Eastman | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-11-02 |
| 1043810245 | Abbey Lorraine Foglesong | Dietitian, Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-27 |
| 1972101533 | Lindy Pelzer | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-15 |
| 1124626437 | Georgianne Younger | Genetic Counselor, MS | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-09 |
| 1114534237 | Bharatendu Chandra | Medical Genetics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1023625142 | Moon Ley Tung | Medical Genetics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1225645187 | Sinan Akay | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1376158170 | Aygun Asgarli | Psychiatry & Neurology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164598041 | Cross Medical Laboratories LLP | Clinical Medical Laboratory | 321 E Market St Ste 102, Iowa City, IA 52245-2176 | 2006-11-24 |
| 1578617841 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2615 Northgate Dr, Suite B, Iowa City, IA 52245-9565 | 2007-01-23 |
| 1265433676 | State University of Iowa | Clinical Medical Laboratory | 200 Hawkins Dr, C660 Gh, Iowa City, IA 52242-1009 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651183 | Pioneer Hi-bred International, Inc. | Clinical Medical Laboratory | 8325 Nw 62nd Ave, Johnston, IA 50131-8820 | 2020-08-31 |
| 1366977613 | Bds Healthcare LLC | Clinical Medical Laboratory | 11308 Aurora Ave, Urbandale, IA 50322-7907 | 2017-04-25 |
| 1982094348 | Regional West Medical Center | Clinical Medical Laboratory | 3502 Metro Dr Ste 200, Council Bluffs, IA 51501-7724 | 2015-01-23 |
| 1124435045 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 315 W 3rd Street, Newton, IA 50208-2015 | 2014-07-14 |
| 1821399643 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3400 Dexter Ct Ste 205, Davenport, IA 52807-3463 | 2010-11-10 |
| 1528378783 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 5041 Utica Ridge Rd Ste 100, Davenport, IA 52807-3480 | 2010-10-20 |
| 1952581134 | Cornerstone Counseling Center | Clinical Medical Laboratory | 717 N 18th St, Suite 1, Centerville, IA 52544-1164 | 2007-11-06 |
| 1891805958 | Regional Laboratory Consultants PC | Clinical Medical Laboratory | 1200 Pleasant, Des Moines, IA 50309-1414 | 2006-08-30 |
| 1821069493 | Mississippi Valley Regional Blood Center | Clinical Medical Laboratory | 1007 Pennsylvania, Ottumwa, IA 52501 | 2006-01-31 |
| 1851371561 | State University of Iowa | Clinical Medical Laboratory | 2490 Crosspark Rd, Coralville, IA 52241-4721 | 2006-01-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.