| NPI | 1376947804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIF MASOOD Owner 501-664-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AR 1760448013) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2015-06-11 |