Provider Demographics
NPI:1063832939
Name:SEQUENCING SOLUTIONS
Entity Type:Organization
Organization Name:SEQUENCING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF SCIENCE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS
Authorized Official - Phone:870-761-6809
Mailing Address - Street 1:2929 S CARAWAY RD
Mailing Address - Street 2:STE 5
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-7307
Mailing Address - Country:US
Mailing Address - Phone:870-761-6809
Mailing Address - Fax:
Practice Address - Street 1:2929 S CARAWAY RD
Practice Address - Street 2:STE 5
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-7307
Practice Address - Country:US
Practice Address - Phone:870-761-6809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-18
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory