Organization
BAILEY'S MOBILE LAB
Active
Other names
Bailey's Mobile lab
Organization subpart
No
Provider details
NPI number
Authorized official
LASHELL MILLER (OWNER)
(870) 636-3809
Entity
Organization
Contact information
Practice address
310 MID CONTINENT PLZ STE 604D, WEST MEMPHIS, AR 72301-1763
(870) 636-3809
Mailing address
310 MID CONTINENT PLZ STE 604D, WEST MEMPHIS, AR 72301-1763
(870) 636-3809
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
10/01/2023
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