Affirm Diagnostic LLC
Organization Active NPI Clinical Medical Laboratory · Fort Smith, AR
NPI 1558073916 · NPPES record last updated Dec 16, 2022
Key facts
- NPI
- 1558073916
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- AFFIRM DIAGNOSTIC LLC
- Practice address
- 3104 S 70TH St Ste 104
Fort Smith, AR 72903-5084 - Phone
- (918) 986-7118
- NPI assigned
- Dec 16, 2022
- Organization subpart
- No
Authorized official
- Name
- Christina Ferguson
- Title
- Owner
- Phone
- (918) 605-1416
National Provider Directory
Locations
3104 S 70th St
Ste 104
Fort Smith, AR 72903
Phone (918) 986-7118
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
3104 S 70TH St Ste 104
Fort Smith, AR 72903-5084
Mailing address
3104 S 70TH St Ste 104
Fort Smith, AR 72903-5084
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All providers in Fort Smith, AR · Clinical Medical Laboratory in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.