Impactlife in Davenport - Clinical Medical Laboratory
Impactlife - NPI 1821069493
Impactlife is a Clinical Medical Laboratory in Davenport, Iowa. Impactlife practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Impactlife is 1821069493. The last update date is 2022-08-04.
Impactlife's current location address is 5500 Lakeview Parkway, Davenport, Iowa. You can contact this provider via phone number 5633595401 and fax number 5638234150. The mailing address for Impactlife is 5500 Lakeview Parkway, Davenport, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Impactlife |
|---|---|
| Address | 5500 Lakeview Parkway, Davenport, Iowa |
| Phone Number | 5633595401 |
| Fax Number | 5638234150 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Klocke Darren |
| Telephone Number | 5638234109 |
NPI Number Detail
| NPI Number | 1821069493 |
|---|---|
| Provider Enumeration Date | 2006-01-31 |
| Last Updated Date | 2022-08-04 |
Provider Mailing Address Detail
| Address | 5500 Lakeview Parkway |
|---|---|
| City | Davenport |
| State | Iowa (IA) |
| Post Code | 52807 |
| Phone Number | 5633595401 |
| Fax Number | 5638234150 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 16D0387118 |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 243113 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Impactlife by the Centers for Medicare & Medicaid Services?
The Impactlife has been assigned the NPI (National Provider Identifier) 1821069493 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Impactlife is physically located?
The Impactlife is situated at the following address: 5500 Lakeview Parkway, Davenport, IA 52807.
What is Impactlife's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Impactlife is Clinical Medical Laboratory, and the taxonomy code that classifies this field of practice is 291U00000X.
On what date was the 1821069493 assigned to Impactlife?
The Impactlife was issued its 1821069493 on 2006-01-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Impactlife, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Impactlife, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-08-04.