NPI 1093889347

Pathology Services Laboratory PA

Organisation Clinical Medical Laboratory Russellville, AR

Practice location

Address: 1430 West C Street, Russellville, AR 72811-0925
Phone: (479) 968-6781
Fax: (479) 968-3074
Mailing address: PO Box 925, Russellville, AR 72811-0925

Authorised official

Name: Christina Ann Jetton
Title: President
Phone: (479) 968-6781

Registered specialties (2)

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Arkansas →

Anatomic Pathology & Clinical Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X

Other Pathology providers in Arkansas →

Registry record

NPI: 1093889347
Entity type: Organization
NPI issued: 20 Nov 2006
Record last updated: 31 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.