PATHOLOGY SERVICES LABORATORY PA NPI 1093889347

NPI Information

  • NPI: 1093889347
  • Provider Name: PATHOLOGY SERVICES LABORATORY PA
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • CLIA Number: 04D0468992
  • Address: 1430 WEST C STREET
    RUSSELLVILLE, AR
    ZIP 72811
  • Phone: (479) 968-6781

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NPI Details

PATHOLOGY SERVICES LABORATORY PA is a clinical medical laboratory in Russellville, AR. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. PATHOLOGY SERVICES LABORATORY PA NPI is 1093889347. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1430 WEST C STREET
RUSSELLVILLE, AR
ZIP 72811-925
Phone: (479) 968-6781
Fax: (479) 968-3074

The provider's authorized official is Christina Ann Jetton .
The authorized official title is President and has the following contact phone number (479) 968-6781.

The CLIA number assigned to this NPI record is 04D0468992 - independent with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r (HCPCS:U0003)
  • Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within (HCPCS:U0005)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Detection test by nucleic acid for human papillomavirus (hpv), high-risk types (HCPCS:87624)
  • Cell examination of specimen, selective cellular enhancement technique (HCPCS:88112)
  • Pap test, automated thin layer preparation; automated system and manual rescreening (HCPCS:88175)
  • Pathology examination of tissue using a microscope, limited examination (HCPCS:88300)
  • Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision (HCPCS:G0145)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician (HCPCS:G0124)
  • Blood smear interpretation by physician with written report (HCPCS:85060)
  • Cell examination of specimen, concentration technique (HCPCS:88108)
  • Pap test (HCPCS:88141)
  • Evaluation of fine needle aspirate with interpretation and report (HCPCS:88173)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode (HCPCS:88177)
  • Pathology examination of tissue using a microscope (HCPCS:88302)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Pathology examination of tissue using a microscope, high complexity (HCPCS:88309)
  • Bone marrow, smear interpretation (HCPCS:85097)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Examination of archival tissue for genetic analysis (HCPCS:88363)
  • Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)

The enumeration date for this NPI number is 11/20/2006 and was last updated on 5/31/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
2291U00000XClinical Medical LaboratoryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1103882709MEDICAIDARKANSAS
2MC0330OTHERARKANSASLICENSE NUMBER
3770091902OTHERBREASTCARE

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: 11/21/2025

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