Healthcare Provider Details

I. General information

NPI: 1992629489
Provider Name (Legal Business Name): EXPRESS MOBILE DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 MAIN ST
NORTH LITTLE ROCK AR
72114-4658
US

IV. Provider business mailing address

717 MAIN ST
NORTH LITTLE ROCK AR
72114-4658
US

V. Phone/Fax

Practice location:
  • Phone: 501-509-3906
  • Fax: 501-509-3906
Mailing address:
  • Phone: 501-509-3906
  • Fax: 501-509-3906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MS. SHERITA TURNER
Title or Position: DIRECTOR OF COMPLIANCE
Credential:
Phone: 501-256-1134