04D2103869 CLIA NUMBER - TRAVIS D RICHARDSON, DO, PLC

Laboratory Demographics

CLIA Number: 04D2103869

Facility Name: TRAVIS D RICHARDSON, DO, PLC

Facility Address:
1507 LINWOOD DR, SUITE A
PARAGOULD, AR
ZIP 72450
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Facility Phone Number: (870) 239-8102

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1396144341

Taxonomy: 207XS0117X - Orthopaedic Surgery
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

CLIA Record

Field Name	Field Value
CLIA Number	04D2103869
LAB Type	PHYSICIAN OFFICE
Facility Name	TRAVIS D RICHARDSON, DO, PLC
Street	1507 LINWOOD DR, SUITE A
City	PARAGOULD
State	AR
ZIP	72450
Phone	(870) 239-8102

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This page was last updated on: 5/11/2023