NPIMap

Pathology Services Laboratory PA

A Medicare group practice based in Russellville, AR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0840373411), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0840373411The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
AR
Enrollments
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20080228000774 AR Part B Supplier - Independent Clinical Laboratory 1093889347
O20080228000782 AR Part B Supplier - Clinic/Group Practice 1831158369

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (5).

Sources for this page