NPI 1073698478

Cooper Clinic, PA

Organisation Clinical Medical Laboratory Fort Smith, AR

Practice location

Address: 6801 Rogers Ave, Fort Smith, AR 72903-4067
Phone: (479) 274-2004
Fax: (479) 274-2024
Mailing address: PO Box 3528, Fort Smith, AR 72913-3528

Authorised official

Name: Melissa G Astin
Title: Director, Business Services
Phone: (479) 274-2024

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence MC-0254 (AR)

Other Clinical Medical Laboratory providers in Arkansas →

Registry record

NPI: 1073698478
Entity type: Organization
NPI issued: 25 Oct 2006
Record last updated: 28 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.