Pathology Services Laboratory PA
NPI 1093889347 · Clinical Medical Laboratory · Russellville, AR
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pathology Services Laboratory PA is a Clinical Medical Laboratory organization in Russellville, AR (NPI 1093889347).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
5,852 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 1,981 | $34 |
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 1,361 | $33 |
| Pathology Examination of Tissue Using a Microscope, Moderately Low Complexity88304 | 420 | $10 |
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 372 | $25 |
| Preparation of Tissue for Examination By Removing Any Calcium Present88311 | 339 | $11 |
| Special Stained Specimen Slides to Identify Organisms Including Interpretation and Report88312 | 248 | $24 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2024-05-31
- Certified
- 2024-05-31
Frequently asked questions
- What is Pathology Services Laboratory PA's NPI number?
- Pathology Services Laboratory PA's National Provider Identifier (NPI) is 1093889347, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pathology Services Laboratory PA?
- Pathology Services Laboratory PA is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Pathology Services Laboratory PA located?
- Pathology Services Laboratory PA's practice location on file with NPPES is 1430 West C Street, Russellville, AR 72811-0925.
- What is Pathology Services Laboratory PA's phone number?
- The practice phone number listed in the NPPES registry for Pathology Services Laboratory PA is (479) 968-6781.
- Does Pathology Services Laboratory PA accept Medicare?
- Pathology Services Laboratory PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pathology Services Laboratory PA?
- The authorized official listed on Pathology Services Laboratory PA's NPPES record is Christina Jetton, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pathology Services Laboratory PA's NPI active?
- Yes — Pathology Services Laboratory PA's NPI (1093889347) is active in the NPPES registry as of the last update on 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.