Organization
DEVANSH LAB WERKS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHAKAR KANCHARLA (PRESIDENT)
(205) 994-8266
Entity
Organization
Contact information
Practice address
10912 COLONEL GLENN RD STE 1000, LITTLE ROCK, AR 72204-8257
(205) 994-8266
(205) 201-4797
Mailing address
6600 PAIGE RD STE 111, THE COLONY, TX 75056-1841
(205) 994-8266
(205) 201-4797
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04D2307358
CLIA
AR
Enumeration date
08/30/2024
Last updated
08/30/2024
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