| NPI | 1649460379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A. ROSEN President 870-534-6699 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AR 04d1059019) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2009-02-23 |