PHOENIX LABS LLC NPI 1760994453

NPI Information

NPI: 1760994453
Provider Name: PHOENIX LABS LLC
Classification: Pathology - 247ZC0005X
Specialization: Clinical Laboratory Director, Non-physician
Entity Type: Organization
Address: 11908 KANIS RD STE G8
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 228-5556

Map and Directions

Get Directions

NPI Details

PHOENIX LABS LLC is a clinical laboratory director and non-physician pathology in Little Rock, AR. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. PHOENIX LABS LLC NPI is 1760994453. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11908 KANIS RD STE G8
LITTLE ROCK, AR
ZIP 72211-773
Phone: (501) 228-5556
Fax: (501) 228-5558

The provider's authorized official is Erin C Thomas .
The authorized official title is Hr and has the following contact phone number (501) 227-7688.

The enumeration date for this NPI number is 11/2/2017 and was last updated on 11/2/2017.

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	247ZC0005X	Pathology	Clinical Laboratory Director, Non-physician	BL155832	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	BL155832	OTHER	ARKANSAS	BUSINESS LICENSE
2	66366858-SLS	OTHER	ARKANSAS	STATE SALES TAX ID

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

NPI Synchronization or Removal

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.

Previous NPI

Next NPI