OrganizationActive
Impactlife
NPI 1821069493 · Clinical Medical Laboratory · Davenport, IA
Provider details
- NPI number
- 1821069493
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Darren Klocke, Cfo(563) 823-4109
- License
- 16D0387118 (IA)
Specialties & taxonomies
Laboratories
Practice location
5500 Lakeview Pkwy
Davenport, IA 52807-3481
Phone: (563) 359-5401
Approximate (ZIP-level) locationGet directions
Mailing address
5500 Lakeview Parkway
Davenport, IA 52807
Other names (DBA / former)
- Former legal business name
- Mississippi Valley Regional Blood Center
Additional practice locations (4)
- 2801 S 10th StSpringfield, IL 62703-3949Phone: (563) 359-5401
- 1408 W University AveUrbana, IL 61801-2341Phone: (563) 359-5401
- 3420 Rider Trl SEarth City, MO 63045-1100Phone: (563) 359-5401
- 6330 Copps AveMonona, WI 53716-3719Phone: (563) 359-5401
Registry dates
- Enumerated
- 2006-01-31
- Last updated
- 2022-08-04
- Certified
- 2022-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.