| NPI | 1801664925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS ESTELLE BELL COO 501-525-2770 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-07-09 |