OrganizationBlood And Cancer Institute Of Little RockClinical Medical LaboratoryLaboratoriesPractice Address500 S University Ave, Suite 808, Little Rock, AR 72205-5302(501) 664-1274PECOS EnrollmentBased on the most recent information from CMS, provider Blood And Cancer Institute Of Little Rock does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1376947804Provider TypeOrganizationFull NameBlood And Cancer Institute Of Little RockSubpartNoEnumeration Date10/13/2014Last Updated6/11/2015Contact InformationPractice LocationPractice Address500 S University Ave, Suite 808, Little Rock, AR 72205-5302Phone(501) 664-1274Fax(501) 664-4236Mailing LocationMailing Address500 S University Ave, Suite 808, Little Rock, AR 72205-5302Phone(501) 664-1274Fax(501) 664-4236Authorized OfficialNameMasood, Asif (Owner)Phone(501) 664-1274Provider TaxonomiesCodeDescriptionLicenseCode291U00000XPrimaryDescriptionClinical Medical LaboratoryLaboratoriesLicense1760448013ArkansasProvider IdentifiersIDDescriptionIssuerID154122001DescriptionMedicaidIssuerUnlistedArkansas