Organization
IMAGINUS DIAGNOSTIC LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY WHITE (MANAGING MEMBER)
(479) 650-9459
Entity
Organization
Contact information
Practice address
17673 US HIGHWAY 271, SPIRO, OK 74959-5300
(479) 650-9459
Mailing address
5616 WILLIAMSON PL, FORT SMITH, AR 72916-8415
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
07/09/2020
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