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BRAINCARE, LLC

Laboratories Physiological Laboratory

Provider NPI: 1477913267

Organization Information:
Organization Name:  BRAINCARE, LLC
Organization is not Subpart
Authorized Official:  JANICE  SHOCK  SR DIRECTOR OF OPERATIONS  866-848-2522

Practice Location:
400 W CAPITOL AVE STE 1741 LITTLE ROCK, AR 72201-3436 US
Tel: 866-848-2522  Fax: --

Business Mailing Address:
2670 FIREWHEEL DR STE B FLOWER MOUND, TX 75028-4601 US
Tel: 866-848-2522  Fax: 877-290-1544

NPI Information:
NPI: 1477913267
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y293D00000XLaboratories
Physiological Laboratory

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 293D00000X

Type:

Classification:



Definition:



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