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NPI Code Detail

MEDICARE: WELAND CLINICAL LABORATORIES, P.C.

MEDICARE: WELAND CLINICAL LABORATORIES, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1690004433OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235121450
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELAND CLINICAL LABORATORIES, P.C.
Provider Business Mailing Address
First Line : PO BOX 1924
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52406-1924
Country : US
Telephone Number : 319-366-1503
Fax Number : 319-366-6976
Provider Business Practice Location Address
First Line : 1911 1ST AVE SE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5320
Country : US
Telephone Number : 319-366-1503
Fax Number : 319-366-6976
Authorized Official
Title or Position : PRESIDENT
Name : DR. MICHAEL WOLTMAN
Credential : M.D.
Telephone Number : 319-366-1503
Provider Enumeration Date : 08/16/2005
Last Update Date : 02/14/2022

Similar Medicare Providers

1740393784 — DR. STANLEY G EILERS M.D.
Practice Location Address:
1911 1ST AVE SE
CEDAR RAPIDS, IA
52402-5320
Practice Phone: 319-366-1503
Practice Fax: 319-366-6976
1033222138 — DR. JULIE CAROL NETSER M.D.
Practice Location Address:
1911 1ST AVE SE
CEDAR RAPIDS, IA
52402-5320
Practice Phone: 319-366-1503
Practice Fax: 319-366-6976
1477666485 — DR. JENNIFER M BURSTAIN M.D.
Practice Location Address:
1911 1ST AVE SE
CEDAR RAPIDS, IA
52402-5320
Practice Phone: 319-366-1503
Practice Fax: 319-366-6976
1841303864 — DR. MICHAEL L WOLTMAN M.D.
Practice Location Address:
1911 1ST AVE SE
CEDAR RAPIDS, IA
52402-5320
Practice Phone: 319-366-1503
Practice Fax: 319-366-6976
1538333570 — NATALIE SUE FREED M.D.
Practice Location Address:
1911 1ST AVE SE
CEDAR RAPIDS, IA
52402-5320
Practice Phone: 319-366-1503
Practice Fax:
1598257628 — DR. JULIE A ECLOV MD, PHD
Practice Location Address:
1911 1ST AVE SE
CEDAR RAPIDS, IA
52402-5320
Practice Phone: 319-366-1503
Practice Fax: 319-366-6976

Directions to “WELAND CLINICAL LABORATORIES, P.C. ” Practice Location

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