OrganizationActive
Russell B Allison
NPI 1134594229 · Clinical Medical Laboratory · Pottsville, AR
Provider details
- NPI number
- 1134594229
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Sabrina Tencleve, Practice Manager(479) 890-9292
Specialties & taxonomies
Laboratories
Practice location
5395 W Ash St Ste 1
Pottsville, AR 72858-9228
Phone: (479) 219-5034
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1146
Russellville, AR 72811-1146
Other names (DBA / former)
- Doing business as
- Central States Laboratory
Registry dates
- Enumerated
- 2015-12-01
- Last updated
- 2015-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.