Provider Demographics
NPI:1568283109
Name:MCPHERSON MEDICAL & DIAGNOSTIC, LLC
Entity type:Organization
Organization Name:MCPHERSON MEDICAL & DIAGNOSTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ABDULLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ARSHAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-724-0083
Mailing Address - Street 1:901 W COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT
Mailing Address - State:MO
Mailing Address - Zip Code:63857-1100
Mailing Address - Country:US
Mailing Address - Phone:573-717-1072
Mailing Address - Fax:573-658-1876
Practice Address - Street 1:16922 TELGE RD STE 2G
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1108
Practice Address - Country:US
Practice Address - Phone:573-559-3591
Practice Address - Fax:573-658-1876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory