| Labase Llc | |
|
2810 25th Ave Marion IA 52302-1311 | |
| (319) 777-8705 | |
| Not Available |
| Full Name | Labase Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2810 25th Ave, Marion, Iowa |
| Authorized Official Name and Position | Lucas Mwita (CEO) |
| Authorized Official Contact | 3197778705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Labase Llc 5249 N Park Pl Ne # 1070 Cedar Rapids IA 52402-6210 Ph: () - | Labase Llc 2810 25th Ave Marion IA 52302-1311 Ph: (319) 777-8705 |
| NPI Number | 1063278760 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063278760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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