{"npi":"1962485136","type":"NPI-2","status":"active","name":{"display":"Central Iowa Hospital Corporation","other":[],"organization_name":"CENTRAL IOWA HOSPITAL CORPORATION","authorised_official":"David Stark"},"specialty":{"primary_taxonomy":"291U00000X","primary_taxonomy_description":"Clinical Medical Laboratory","slug":"clinical-medical-laboratory","schema_org_specialty":"Pathology","all":[{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":true,"state":"IA","license":"16D0383397"}]},"addresses":[{"purpose":"LOCATION","street_1":"3001 SE CONVENIENCE BLVD UNIT 104","city":"ANKENY","state":"IA","postal_code":"500218503","country_code":"US","phone":"5152418878","fax":"5152418857"},{"purpose":"MAILING","street_1":"3001 SE CONVENIENCE BLVD UNIT 104","city":"ANKENY","state":"IA","postal_code":"500218503","country_code":"US","phone":"5152418878","fax":"5152418857"}],"license":{"state":"IA","number":"16D0383397"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0198945","state":"IA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040202001195","type_code":"12-69","type_desc":"PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY","state":"IA","pac_id":"1052229275"}]},"enumeration_date":"2005-11-22","last_updated":"2022-11-08","_meta":{"source":"NPPES","snapshot_date":"2022-11-08","doc_url":"https://findmynpi.com/api"}}