Organization · Type 2 NPI
Phoenix Labs LLC
Clinical Laboratory Director (Non-physician) · Little Rock, AR
NPI number
1760994453
Active
Practice location
11908 Kanis Rd Ste G8
Little Rock, AR 72211-3773
Fax (501) 228-5558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | BL155832 (AR) |
Clinical Laboratory Director (Non-physician): 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.
About NPI 1760994453
Phoenix Labs LLC's National Provider Identifier is 1760994453, issued on Nov 2, 2017. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Little Rock, AR. The record was last updated on Nov 2, 2017.