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NPI · 1093889347 · NPPES-sourced

Pathology Services Laboratory PA

ActiveClinical Medical Laboratory
NPI Number
1093889347
Type 2 · Organisation
Taxonomy Code
291U00000X
Contact
(479) 968-6781
Primary practice line
Last Updated
Enumerated
Primary practice addressAR · 72811-0925
1430 West C StreetRussellville, AR 72811-0925
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About this NPIWhat this record shows.

NPI 1093889347 is registered to Pathology Services Laboratory PA, a healthcare organisation classified as "Clinical Medical Laboratory" and located at 1430 West C Street in Russellville, Arkansas. The organisation's authorised official is Christina Jetton. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • MC0330AR· Issued by LICENSE NUMBER
  • 770091902· Issued by BREASTCARE

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Pathology Services Laboratory PA accepts. To confirm in-network status with your specific health plan, contact Pathology Services Laboratory PA directly at (479) 968-6781.

Frequently asked

Yes. NPI 1093889347 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Medical Laboratory is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (479) 968-6781.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Pathology Services Laboratory PA is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy291U00000X
Last updated
Enumerated
StatusActive
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