Stateline Medical Ar LLC
NPI #1568949436 in Farmington, Arkansas
Provider Information
- NPI Number
- 1568949436
- Entity Type
- Organization
- Organization Name
- Stateline Medical Ar LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jul 24, 2018
- Last Updated
- Jul 24, 2018
Practice Location
- Address
- 12204 W HIGHWAY 62
- City
- Farmington
- State
- Arkansas
- ZIP Code
- 72730-9560
- Phone
- (479) 561-2448
Authorized Official
- Name
- BRITTANY FOX
- Title
- CO-OWNER
- Phone
- (479) 650-9459
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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