| NPI | 1417009374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNA J PERRETT Office Manager 479-754-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AR MC0283) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |