WHITE RIVER LABORATORIES, INC. (NPI# 1760643902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760643902 |
| Entity Type | Organization |
| Organization Name | WHITE RIVER LABORATORIES, INC. |
| Practice Address |
1710 Harrison St Batesville AR 72501-7303 |
| Mailing Address |
Po Box 3047 Batesville AR 72503-3047 |
| Practice Telephone | 8702621255 |
| Practice Fax Number | 8702626559 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | MR. DENNIS F. MOORE (PRESIDENT) |
| Authorized Official Telephone | 8706122147 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
1710 HARRISON ST |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501-7303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973500 | Kamarajapuram Raman Desikan | Internal Medicine | 1710 Harrison St, Batesville, AR 72501-7303 | 2005-06-24 |
| 1316551799 | Lucenthia Georgette Warden | Nurse Practitioner | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-09-03 |
| 1629688247 | Gretchin Cooper | Nurse Practitioner | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-08-07 |
| 1891311270 | Chassidy Elyse Seward | Pharmacist | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-06-22 |
| 1437770690 | Kemuel Ezekiel Telemaque | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-29 |
| 1023639291 | Sara Kathryn Whyte | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-29 |
| 1992325773 | Omar Alkhatib | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-21 |
| 1386263101 | Jude-patrick Nnamdi Okafor | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-11 |
| 1922637131 | Steffie-ann Orlene Dujon | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-08 |
| 1558990952 | Soubhi Alhayek | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902141377 | White River Health System, Inc. | Clinical Medical Laboratory | 1700 Harrison St, Suite H, Batesville, AR 72501-7316 | 2012-12-11 |
| 1790842078 | White River Health System, Inc | Clinical Medical Laboratory | 1710 Harrison St, Batesville, AR 72501-7303 | 2007-01-03 |
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| 1629632203 | Exacta Laboratory Systems, LLC | Clinical Medical Laboratory | 2400 E Kiehl Ave, Sherwood, AR 72120-3136 | 2019-04-29 |
| 1730658279 | Natural State Laboratories, LLC | Clinical Medical Laboratory | 4851 Northshore Ln, North Little Rock, AR 72118-5329 | 2018-11-14 |
| 1275001851 | Cquentia Arkansas Lab LLC | Clinical Medical Laboratory | 112 W Center St Ste 504, Fayetteville, AR 72701-6073 | 2018-11-13 |
| 1568949436 | Stateline Medical Ar LLC | Clinical Medical Laboratory | 12204 W Highway 62, Farmington, AR 72730-9560 | 2018-07-24 |
| 1154822567 | Ares Laboratory LLC | Clinical Medical Laboratory | 14524 Cantrell Rd Ste 100b, Little Rock, AR 72223-4700 | 2018-02-22 |
| 1033638069 | Bds Healthcare LLC | Clinical Medical Laboratory | 1311 Fort St Ste M, Barling, AR 72923-2045 | 2017-09-11 |
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| City | BATESVILLE |
| Zip Code | 72501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.