Organization
MEDISCOPE ARKANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR NDEREVA (OWNER)
(214) 687-2391
Entity
Organization
Contact information
Practice address
6929 JFK BLVD STE 20291, NORTH LITTLE ROCK, AR 72116-5312
(479) 434-5643
Mailing address
201 HIGHWAY 255, LAVACA, AR 72941-7313
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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