Organization
SPARKS MEDICAL FOUNDATION
Active
Other names
Diagnostic Center at Sparks Medical Plaza-Lab
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA COX (CBO SUPPORT MANAGER)
(479) 709-7057
Entity
Organization
Contact information
Practice address
1500 DODSON AVE, FORT SMITH, AR 72901-5182
(479) 709-7412
(479) 709-7413
Mailing address
PO BOX 2420, FORT SMITH, AR 72902-2420
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/04/2006
Last updated
11/01/2007
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