Provider Demographics
NPI:1700642451
Name:HERMES LABORATORIES
Entity Type:Organization
Organization Name:HERMES LABORATORIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:TIMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-227-5061
Mailing Address - Street 1:2 LILE CT STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6241
Mailing Address - Country:US
Mailing Address - Phone:501-227-5061
Mailing Address - Fax:501-227-5234
Practice Address - Street 1:2 LILE CT STE 102B
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6241
Practice Address - Country:US
Practice Address - Phone:501-227-5061
Practice Address - Fax:501-227-5234
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARKANSAS EPILEPSY PROGRAM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory