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Micro Diagnostic Laboratories, Inc.

NPI #1285770545 in Benton, Arkansas

Provider Information

NPI Number
1285770545
Entity Type
Organization
Organization Name
Micro Diagnostic Laboratories, Inc.
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jan 30, 2007
Last Updated
Nov 15, 2007

Practice Location

Address
1200 SALEM RD
City
Benton
State
Arkansas
ZIP Code
72019-8340
Phone
(501) 316-6337

Authorized Official

Name
MR. MIKE ALLEN, MT, ASCP
Title
PRESIDENT
Phone
(501) 316-6337

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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