NPI 1174858831

Pulaski Care INC

Organisation Clinical Medical Laboratory Pine Bluff, AR

Practice location

Address: 4201 S Mulberry St, Pine Bluff, AR 71603-7016
Phone: (870) 619-1657
Fax: (501) 421-6845
Mailing address: 4912b Fountain Ave Suite 40, Los Angeles, CA 90029-1502

Authorised official

Name: Jacob K Peters
Title: President
Phone: (870) 619-1657

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 04D0465285 (AR)

Other Clinical Medical Laboratory providers in Arkansas →

Registry record

NPI: 1174858831
Entity type: Organization
NPI issued: 13 Oct 2009
Record last updated: 13 Oct 2009

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.