Organization · Type 2 NPI

Pathology Services Laboratory PA

Clinical Medical Laboratory · Russellville, AR

NPI number 1093889347 Active

Practice location

1430 West C Street
Russellville, AR 72811-0925

Fax (479) 968-3074

Mailing address

PO Box 925
Russellville, AR 72811-0925

Specialties and licenses

TaxonomyCodeLicense
Anatomic Pathology & Clinical Pathology Physician 207ZP0102XNone listed
Clinical Medical Laboratory Primary 291U00000XNone listed

Clinical Medical Laboratory: (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 det…

About NPI 1093889347

Pathology Services Laboratory PA's National Provider Identifier is 1093889347, issued on Nov 20, 2006. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Russellville, AR. The record was last updated on May 31, 2024.