Organization
QUANTUM LABORATORY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE ANN HOGREFE (OWNER)
(800) 733-4305
Entity
Organization
Contact information
Practice address
824 N CREEK DR, CONWAY, AR 72032-4711
(800) 733-4305
Mailing address
824 N CREEK DR, CONWAY, AR 72032-4711
(800) 733-4305
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04D2217768
CLIA
AR
05
—
281864709
—
AR
01
—
2B8549
MEDICARE
AR
Enumeration date
12/24/2021
Last updated
12/02/2022
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