OrganizationActive
State University of Iowa
NPI 1851371561 · Clinical Medical Laboratory · Coralville, IA
Provider details
- NPI number
- 1851371561
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Authorized official
- Wade Alsous, Clinic Lab Directo
- License
- NONE
Practice location
2490 Crosspark Rd
Coralville, IA 52241-4721
Phone: (319) 335-4500
Fax: (319) 335-4171
Mailing address
2490 Crosspark Rd
Coralville, IA 52241-4721
Registry dates
- Enumerated
- 2006-01-19
- Last updated
- 2014-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.