Organization
MEDICAL LABORATORIES OF ARKANSAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY HINES (DIRECTOR OF PATIENT ACCOUNTS)
(501) 812-7508
Entity
Organization
Contact information
Practice address
9601 LILE DR, SUITE 108, LITTLE ROCK, AR 72205-6321
(501) 202-6522
(501) 202-1429
Mailing address
9601 LILE DR, SUITE 108, LITTLE ROCK, AR 72205-6321
(501) 202-6522
(501) 202-1429
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLIA-04D1053341
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162836709
—
AR
Enumeration date
05/28/2006
Last updated
05/28/2008
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