Healthcare Provider Details
I. General information
NPI: 1235255902
Provider Name (Legal Business Name): HEALTH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1030 5TH AVE SE SUITE 1800
CEDAR RAPIDS IA
52403-2464
US
IV. Provider business mailing address
1030 5TH AVE SE SUITE 1800
CEDAR RAPIDS IA
52403-2464
US
V. Phone/Fax
- Phone: 319-899-4586
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | IA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 0450460 |
| Identifier Type | MEDICAID |
| Identifier State | IA |
| Identifier Issuer | |
VIII. Authorized Official
Name:
AMY
MOET
Title or Position: OWNER
Credential:
Phone: 319-899-4586