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LAB OF PATH PA NPI 1831167196


NPI Information

NPI: 1831167196
Provider Name: LAB OF PATH, PA
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 04D0891911

Address:
1915 W BEEBE CAPPS EXPY
SEARCY, AR
ZIP 72143
Phone: (501) 268-8175
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LAB OF PATH, PA is an anatomic pathology and clinical pathology pathology in Searcy, AR. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. LAB OF PATH, PA NPI is 1831167196. The provider is registered as an organization entity type.

The provider's business location address is:

1915 W BEEBE CAPPS EXPY
SEARCY, AR
ZIP 72143-012
Phone: (501) 268-8175
Fax: (501) 268-8337

The provider's authorized official is James Henry Golleher .
The authorized official title is Medical Director and has the following contact phone number (501) 268-8175.

The CLIA number assigned to this NPI record is 04D0891911 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/10/2006 and was last updated on 12/5/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryMC0253ARKANSASNo
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyMC0253ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1770046609OTHERARKANSASBREASTCARE
256822MEDICARE UPINARKANSAS
304D0891911OTHERARKANSASCLIA
42022102OTHERARKANSASCAP
518019MEDICARE ID-TYPE UNSPECIFIEDARKANSASMEDICARE
6MC0253OTHERARKANSASSTATE LICENSE
7106515709MEDICAIDARKANSAS
8770093602OTHERARKANSASBREASTCARE OTHER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.