Organization
BLOOD AND CANCER INSTITUTE OF LITTLE ROCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIF MASOOD M.D. (OWNER)
(501) 664-1274
Entity
Organization
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 808, LITTLE ROCK, AR 72205-5302
(501) 664-1274
(501) 664-4236
Mailing address
500 S UNIVERSITY AVE, SUITE 808, LITTLE ROCK, AR 72205-5302
(501) 664-1274
(501) 664-4236
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1760448013
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154122001
—
AR
Enumeration date
10/13/2014
Last updated
06/11/2015
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