Healthcare Provider Details

I. General information

NPI: 1184734246
Provider Name (Legal Business Name): IOWA PATHOLOGY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 PLEASANT ST STE LL3
DES MOINES IA
50309-1414
US

IV. Provider business mailing address

1212 PLEASANT ST STE LL3
DES MOINES IA
50309-1414
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-8866
  • Fax: 515-241-8855
Mailing address:
  • Phone: 515-241-8866
  • Fax: 515-241-8855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: SCOTT L DENKER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 515-241-8861