Organization
MEDICAL DIAGNOSTICS OF LR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D CAIN M.D. (PRESIDENT)
(501) 227-8000
Entity
Organization
Contact information
Practice address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 227-8000
Mailing address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 227-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C4920
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C98639
RAILROAD MEDICARE PIN
AR
Enumeration date
01/22/2007
Last updated
12/21/2011
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