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General NPI Number Information
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NPI Number | 1790024131
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Entity Type | Organization
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Legal Business Name | PHYSICIANS LABORATORIES OF AMERICA
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 10 CORPORATE HILL DR STE 180
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City | LITTLE ROCK
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State | AR
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Zip | 72205-4562
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Country | US
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Telephone | 877-202-5227
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Fax | 501-408-3439
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Provider Business Mailing Address
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Address Line | 10 CORPORATE HILL DR STE 180
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City | LITTLE ROCK
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State | AR
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Zip | 72205-4562
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Country | US
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Telephone | 877-202-5227
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Fax | 501-408-3439
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Authorized Official
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Title or Position | MANAGER
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Name | JANET RICHMOND
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Credential |
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Telephone | 501-712-1396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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