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Organization

LABORATORY MEDICINE ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE GARCIA (BILLING MANAGER)
(479) 452-9419
Entity
Organization

Contact information

Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 452-9416
(479) 242-1990
Mailing address
PO BOX 1426, FORT SMITH, AR 72902-1426
(479) 452-9416
(479) 484-0827

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100758190B
OK
05
111807002
AR
01
CH9753
RAILROAD MEDICARE
AR
Enumeration date
03/24/2006
Last updated
07/20/2020
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