Organization
WHITE RIVER LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS F. MOORE (PRESIDENT)
(870) 612-2147
Entity
Organization
Contact information
Practice address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-1255
(870) 262-6559
Mailing address
PO BOX 3047, BATESVILLE, AR 72503-3047
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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