Healthcare Provider Details

I. General information

NPI: 1891590097
Provider Name (Legal Business Name): ROBINSON DIAGNOSTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 OFFICE PARK DR STE 104
LITTLE ROCK AR
72211-3865
US

IV. Provider business mailing address

5 OFFICE PARK DR STE 104
LITTLE ROCK AR
72211-3865
US

V. Phone/Fax

Practice location:
  • Phone: 501-406-7995
  • Fax: 501-916-2873
Mailing address:
  • Phone: 501-406-7995
  • Fax: 501-916-2873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARION YORK
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 501-681-2532