Organization
ARKANSAS GENOMICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY D THREET (MANAGING MEMBER)
(501) 519-2988
Entity
Organization
Contact information
Practice address
5100 TALLEY RD, SUITE 300, LITTLE ROCK, AR 72204-8032
(501) 519-2988
Mailing address
5100 TALLEY RD, SUITE 300, LITTLE ROCK, AR 72204-8032
(501) 519-2988
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
3023875
AZ
291U00000X
Clinical Medical Laboratory
Primary
BLOO120897
AR
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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