| NPI | 1275581282 |
|---|---|
| Doing Business As | DIAGNOSTIC CENTER AT SPARKS MEDICAL PLAZA-LAB |
| Entity Type | Organization |
| Authorized Contact | REBECCA COX Cbo Support Manager 479-709-7057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-11-01 |