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Laboratories Physiological Laboratory

Provider NPI: 1538202221

Organization Information:
Organization is not Subpart
Authorized Official:  JASON CALEB SAPP  CEO  870-239-2033

Practice Location:
Tel: 870-424-7033  Fax: 870-424-7036

Business Mailing Address:
PO BOX 856  PARAGOULD, AR 72450-0856 US
Tel: 870-239-2033  Fax: 870-239-4204

NPI Information:
NPI: 1538202221
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Physiological Laboratory
Y261QS1200XAmbulatory Health Care Facilities

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 261QS1200X





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