White River Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WHITE RIVER LABORATORIES, INC.

Practice address

1710 Harrison St
Batesville, AR 72501-7303

Phone

(870) 262-1255

Fax

(870) 262-6559

NPI assigned

Jun 20, 2008

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dennis F. Moore

Title

President

Phone

(870) 612-2147

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1760643902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3047",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725033047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017303",
            "telephone_number": "870-262-1255",
            "fax_number": "870-262-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-612-2147",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White River Health System, Inc. (White River Reference Lab)
• White River Health System, Inc. (White River Health Family Care)
• White River Health System, Inc. (WRMC Cardiology)
• White River Health System, Inc. (WRMC General Surgery)
• White River Health Systems (WRMC Pediatric Clinic)
• White River Medical Center
• Addison White
• Kimberly White
• Rita White
• Clem Whitmer

• Clinical Medical Laboratory in Batesville, AR
• Providers in Batesville, AR by specialty
• Clinical Medical Laboratory in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.