LAB OF PATH PA NPI 1639397953

NPI Information

  • NPI: 1639397953
  • Provider Name: LAB OF PATH, PA
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Organization
  • Address: 1915 W BEEBE CAPPS EXPY
    SEARCY, AR
    ZIP 72143
  • Phone: (501) 268-8175

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NPI Details

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 1639397953. 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 H Golleher .
The authorized official title is Medical Director and has the following contact phone number (501) 268-8175.

The enumeration date for this NPI number is 4/23/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MC0253OTHERARKANSASAR LICENSE
204D0891911OTHERARKANSASCLIA NUMBER
3770046609OTHERARKANSASBREASTCARE
456822MEDICARE ID-TYPE UNSPECIFIEDARKANSASPATHOLOGY MEDICARE NUMBER
52022102OTHERARKANSASCAP NUMBER
6770093602OTHERARKANSASBREASTCARE OTHER
718019MEDICARE UPINARKANSAS
8106515709MEDICAIDARKANSAS

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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