Organization Active NPI

Advanced Pathology Solutions, PLLC

  • Clinical Medical Laboratory
  • North Little Rock, AR
National Provider Identifier
1053686964
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ADVANCED PATHOLOGY SOLUTIONS, PLLC
Practice address
5328 Northshore CV
North Little Rock, AR 72118-5332
Phone
(501) 225-1400
Fax
(501) 225-1401
NPI assigned
Mar 12, 2012
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brandon Crain
Title
Finance Director
Phone
(501) 225-1400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0101X
Clinical Medical Laboratory 291U00000X AR Primary

Addresses

Primary practice location

5328 Northshore CV
North Little Rock, AR 72118-5332

Mailing address

5328 Northshore CV
North Little Rock, AR 72118-5332
Phone (501) 225-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120416000535 AR Part B Supplier - Clinic/Group Practice 5597926709 Receives reassigned benefits from 14 practitioners
Practice locations: North Little Rock, AR
O20151221000946 AR Part B Supplier - Independent Clinical Laboratory 5597926709 Receives reassigned benefits from 1 practitioner
Practice locations: North Little Rock, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2037153Advanced Pathology Solutions LLC5328 Northshore Cove, North Little Rock, AR 72118RegistrationFeb 16, 2028

National Provider Directory

National Provider Directory

Locations

5328 Northshore Cv
North Little Rock, AR 72118
Phone (501) 225-1400

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1053686964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5328 NORTHSHORE CV",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185332",
            "telephone_number": "501-225-1400",
            "fax_number": "501-225-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5328 NORTHSHORE CV",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185332",
            "telephone_number": "501-225-1400",
            "fax_number": "501-225-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PATHOLOGY SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "CRAIN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "501-225-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.