Pathology Services Laboratory PA
NPI #1093889347 in Russellville, Arkansas
Provider Information
- NPI Number
- 1093889347
- Entity Type
- Organization
- Organization Name
- Pathology Services Laboratory PA
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Nov 20, 2006
- Last Updated
- May 31, 2024
Practice Location
- Address
- 1430 WEST C STREET
- City
- Russellville
- State
- Arkansas
- ZIP Code
- 72811-0925
- Phone
- (479) 968-6781
Authorized Official
- Name
- MRS. CHRISTINA ANN JETTON, M.D.
- Title
- PRESIDENT
- Phone
- (479) 968-6781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology |
| Clinical Medical Laboratory |
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