NPI 1376779843

Delta Wave LLC

Organisation Physiological Laboratory Little Rock, AR

Practice location

Address: 1 Innwood Cir Suite 102, Little Rock, AR 72211-2447
Phone: (501) 217-8200
Fax: (501) 217-8201

Authorised official

Name: Richard Timothy Evans
Title: President- Delta Wave, LLC
Phone: (877) 840-1840

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence BL00033811 (AR)

Other Physiological Laboratory providers in Arkansas →

Registry record

NPI: 1376779843
Entity type: Organization
NPI issued: 10 Jun 2009
Record last updated: 15 Dec 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.