Provider Demographics
NPI:1720129778
Name:FUNCTIONAL TESTING CENTERS, INC.
Entity Type:Organization
Organization Name:FUNCTIONAL TESTING CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:L
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:JR
Authorized Official - Credentials:MED
Authorized Official - Phone:888-384-8639
Mailing Address - Street 1:3120 S HAZEL ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-5740
Mailing Address - Country:US
Mailing Address - Phone:888-384-8639
Mailing Address - Fax:877-534-3267
Practice Address - Street 1:3120 S HAZEL ST
Practice Address - Street 2:SUITE B
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-5740
Practice Address - Country:US
Practice Address - Phone:888-384-8639
Practice Address - Fax:877-534-3267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty