Whalio Doctors

NPI 1639339021

Spine Innovations, LLC

Organisation Physiological Laboratory Little Rock, AR

Practice location

Address
11912 Kanis Rd STE F8, Little Rock, AR 72211-3771
Phone
(501) 255-1580

Authorised official

Name
Robert D Mazzarella
Title
President
Phone
(501) 255-1580

Registered specialties

Physiological Laboratory Primary
Laboratories Taxonomy 293D00000X

Registry record

NPI
1639339021
Entity type
Organization
NPI issued
10 Jun 2008
Record last updated
10 Jun 2008

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.