RUSSELL B ALLISON

POTTSVILLE, AR
NPI1134594229
Doing Business AsCENTRAL STATES LABORATORY
Entity TypeOrganization
Authorized ContactSABRINA PARIS TENCLEVE
Practice Manager
479-890-9292
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2015-12-01
Last Update Date2015-12-01
Business Address
RUSSELL B ALLISON
5395 W ASH ST STE 1
POTTSVILLE, AR 72858-9228
Phone number: 479-219-5034
Mailing Address
RUSSELL B ALLISON
PO BOX 1146
RUSSELLVILLE, AR 72811-1146
Phone number: 479-890-9292