Misha Mahmood
Individual provider Active NPI Clinical Medical Laboratory · Hensley, AR
NPI 1104607381 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1104607381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Practice address
- 3024 E Woodson Lateral Rd
Hensley, AR 72065-9169 - Phone
- (870) 534-2900
- Fax
- (870) 534-9726
- NPI assigned
- Oct 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Car Genetics & Molecular Diagnostics Lab | Clinical Medical Laboratory | Current | Accepting new patients |
| Sark Opl | Current | Accepting new patients |
Locations
3024 E Woodson Lateral Rd
Hensley, AR 72065
Phone (870) 534-2900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
3024 E Woodson Lateral Rd
Hensley, AR 72065-9169
Mailing address
3024 E Woodson Lateral Rd
Hensley, AR 72065-9169
Phone (870) 534-2900
Other providers in Hensley, AR
- Clayton Jenks
- Chrystal Dian Johnson
- Karmin Kidd
- Erin Elizabeth Lafreniere
- Sarah Suzanne Lunsford
- Maple Creek Counseling
- Nancy Marchbank
- Michael McElroy III
- Joshua Aaron Motes
- Mack Gregory Pharr II
All providers in Hensley, AR · Clinical Medical Laboratory in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.