| NPI | 1902141377 |
|---|---|
| Doing Business As | WHITE RIVER REFERENCE LAB |
| Entity Type | Organization |
| Authorized Contact | GARY L BEBOW CEO 870-262-6091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |