STATERA LLC
NPI 1689172751
Clinic/Center - Primary Care in Dubuque, IA
About Statera Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATERA LLC (NPI 1689172751) is a healthcare organization registered as a primary care in Dubuque, Iowa and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through February 13, 2028 and lists Nicole Lee Hutchison, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 16D2144293
Statera, LLC · Dubuque, IAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Statera LLC's NPI number?
The NPI number for Statera LLC is 1689172751. It was assigned to this organization in the NPPES registry on January 24, 2018.
Where is Statera LLC located?
Statera LLC is located at 3375 Lake Ridge Drive, Dubuque, IA 52003. The listed phone number is (563) 580-0243.
What is Statera LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Statera LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 16D2144293) is associated with this NPI, valid through February 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Statera LLC accept?
Health plans from Medica list Statera LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Statera LLC was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Statera Llc · NPI 1689172751
Primary Care organization in Dubuque, Iowa. Organization record, active in the CMS NPPES registry since January 24, 2018.
## Identity
- **NPI:** 1689172751 (Entity type: Organization)
- **Enumerated:** January 24, 2018
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Nicole Hutchison, OWNER
## Practice location
- **Address:** 3375 LAKE RIDGE DRIVE, Dubuque, IA 52003
- **Phone:** (563) 580-0243
## Record status
- **NPPES last updated:** January 24, 2018
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1689172751) · Data from the CMS NPPES public registry.