institution
Phoenix Labs Llc
Clinical Laboratory Director (Non-physician) in Little Rock, Arkansas
NPI 1760994453

Phoenix Labs Llc is a Clinical Laboratory Director (Non-physician) based in Little Rock, AR and is specialized in Clinical Laboratory Director, Non-physician. Phoenix Labs Llc practices in Little Rock, AR. The NPI Number for Phoenix Labs Llc is 1760994453 and holds a License No. BL155832 (Arkansas).

The current practice location address for Phoenix Labs Llc is 11908 Kanis Rd Ste G8, Little Rock, AR and can be reached out via phone at 501-228-5556 and via fax at 501-228-5558. You can also correspond with Phoenix Labs Llc through the mailing address at 11908 KANIS RD STE G8, LITTLE ROCK, AR - 72211-3773 (mailing address contact number: 501-228-5556).

Location: 11908 Kanis Rd Ste G8, Little Rock, AR, 72211-3773
institution
Provider Profile Details
NPI Number
1760994453
Provider Name
Phoenix Labs Llc
Credential
Provider Entity Type
Organization
Address
11908 Kanis Rd Ste G8, Little Rock, AR, 72211-3773
Phone Number
501-228-5556
Fax Number
501-228-5558
Provider Enumeration Date
11/02/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BL155832 01 AR BUSINESS LICENSE
66366858-SLS 01 AR STATE SALES TAX ID
institution
Provider Business Practice Location Address Details
Address
11908 Kanis Rd Ste G8
City
State
Zip
72211-3773
Phone Number
501-228-5556
Fax Number
501-228-5558
person
Provider Business Mailing Address Details
Address
11908 Kanis Rd Ste G8
City
State
Zip
72211-3773
Phone Number
501-228-5556
Fax Number
501-228-5558
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
License No.
BL155832 (Arkansas)
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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