OrganizationActive
Ancillary Innovations
NPI 1962899989 · Clinical Medical Laboratory · Fayetteville, AR
Provider details
- NPI number
- 1962899989
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Authorized official
- Regina Thurman, Ceo
Practice location
1792 E Joyce Blvd Ste 3
Fayetteville, AR 72703-5255
Phone: (479) 301-2565
Fax: (479) 301-2717
Mailing address
1792 E Joyce Blvd Ste 3
Fayetteville, AR 72703-5255
Registry dates
- Enumerated
- 2015-04-16
- Last updated
- 2015-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.