OrganizationActive
Imaginus Diagnostic Laboratory LLC
NPI 1417583162 · Clinical Medical Laboratory · Spiro, OK
Provider details
- NPI number
- 1417583162
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Brittany White, Managing Member(479) 650-9459
Specialties & taxonomies
Laboratories
Practice location
17673 US Highway 271
Spiro, OK 74959-5300
Phone: (479) 650-9459
Approximate (ZIP-level) locationGet directions
Mailing address
5616 Williamson Pl
Fort Smith, AR 72916-8415
Registry dates
- Enumerated
- 2020-03-13
- Last updated
- 2020-07-09
- Certified
- 2020-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.