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Organization

MICRO DIAGNOSTIC LABORATORIES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKE ALLEN MT, ASCP (PRESIDENT)
(501) 316-6337
Entity
Organization

Contact information

Practice address
1200 SALEM RD, BENTON, AR 72019-8340
(501) 316-6337
(501) 316-4783
Mailing address
1200 SALEM RD, BENTON, AR 72019-8340
(501) 316-6337
(501) 316-4783

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
AR

Other

Enumeration date
01/30/2007
Last updated
11/15/2007
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