NPI Details
MICRO DIAGNOSTIC LABORATORIES, INC. is a clinical medical laboratory in Benton, 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. MICRO DIAGNOSTIC LABORATORIES, INC. NPI is 1285770545. The provider is registered as an organization entity type.
The provider's business location address is:
1200 SALEM RD
BENTON, AR
ZIP 72019-340
Phone: (501) 316-6337
Fax: (501) 316-4783
The provider's authorized official is Mike Allen .
The authorized official title is President and has the following contact phone number (501) 316-6337.
The CLIA number assigned to this NPI record is 04D0913430 - 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.
- Bacterial colony count, urine (HCPCS:87086)
- Bacterial culture for aerobic isolates (HCPCS:87077)
- Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) (HCPCS:87184)
- Bacterial culture, any other source except urine, blood or stool, aerobic (HCPCS:87070)
- Identification of organisms by immunologic analysis, other than immunofluorescence method (HCPCS:87147)
- Smear for infectious agents (HCPCS:87210)
- Bacterial urine culture (HCPCS:87088)
- Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique (HCPCS:87661)
- Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique (HCPCS:87491)
- Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique (HCPCS:87591)
- Screening test for pathogenic organisms (HCPCS:87081)
The enumeration date for this NPI number is 1/30/2007 and was last updated on 11/15/2007.
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 |
| 1 | 291U00000X | Clinical Medical Laboratory | | | ARKANSAS | Yes |
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 |
| 1 | 18099 | MEDICARE PIN | ARKANSAS | |
