| NPI | 1629320841 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ASHLEY E SMITH Billing Manager 501-661-9191  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AR MC-1776)  | 
| Enumeration Date | 2012-10-11 | 
| Last Update Date | 2012-10-11 |