Organization
MYHEALTH RAPID DIAGNOSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL B DECKER MD (OWNER/MANAGER)
(336) 721-1487
Entity
Organization
Contact information
Practice address
19 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 580-0283
Mailing address
501 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2912
(870) 580-0283
(870) 580-0297
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188791001
—
AR
Enumeration date
03/01/2022
Last updated
03/01/2022
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