IndividualActive
Elias Clark
NPI 1780949958 · Medical Technologist · Cedar Rapids, IA
Provider details
- NPI number
- 1780949958
- Entity type
- Individual
- Primary specialty
- Medical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 240891 (IA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
531 Country Hill Ct Ne
Apartment 2
Cedar Rapids, IA 52402-8310
Phone: (605) 929-9380
Approximate (ZIP-level) locationGet directions
Mailing address
531 Country Hill Ct Ne
Cedar Rapids, IA 52402-8310
Registry dates
- Enumerated
- 2012-07-12
- Last updated
- 2012-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.