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Contact Information

DELTA WAVE LLC
1 INNWOOD CIR
SUITE 102
LITTLE ROCK, AR72211-2447
 Phone: 501-217-8200
 Fax: 501-217-8201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for DELTA WAVE LLC

NPI Number 1376779843
LBN Legal business name DELTA WAVE LLC
Authorized official RICHARD EVANS - (PRESIDENT- DELTA WAVE, LLC)
Entity Organization
Organization subpart 1 No
Enumeration date 06/10/2009
Last updated 12/15/2009 - About 16 years ago
Identifiers
AR License # BL00033811
AR Other 1053424523 NPI
AR Other 1649413949 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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