NPI 1780946517

Dermlogic, P.L.L.C, PA

Organisation Clinical Medical Laboratory North Little Rock, AR

Practice location

Address: 9780 Maumelle Blvd, North Little Rock, AR 72113-6737
Phone: (501) 753-9000
Fax: (501) 753-9004

Authorised official

Name: Kim M Hiatt
Title: Manager
Phone: (501) 551-6408

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence E3291 (AR)

Other Clinical Medical Laboratory providers in Arkansas →

Registry record

NPI: 1780946517
Entity type: Organization
NPI issued: 7 Jun 2012
Record last updated: 7 Jun 2012

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.