OrganizationActive
Pathology Services Laboratory PA
NPI 1093889347 · Clinical Medical Laboratory · Russellville, AR
Provider details
- NPI number
- 1093889347
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Christina Jetton, President(479) 968-6781
Specialties & taxonomies
Laboratories
Allopathic & Osteopathic Physicians
Practice location
1430 West C Street
Russellville, AR 72811-0925
Phone: (479) 968-6781
Fax: (479) 968-3074
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 925
Russellville, AR 72811-0925
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2024-05-31
- Certified
- 2024-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.