Misha Mahmood

Primary specialty

Clinical Medical LaboratoryTaxonomy code 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

Last updated

Oct 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Car Genetics & Molecular Diagnostics Lab

  • Clinical Medical Laboratory
  • Hensley, AR
  • NPI 1841079670
  NPD Authorized official
• Sark Opl

  dba Sarc MSG, LLC

  • Cardiovascular Disease Physician
  • Pine Bluff, AR
  • NPI 1558893776
  NPD

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1104607381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 E WOODSON LATERAL RD",
            "city": "HENSLEY",
            "state": "AR",
            "postal_code": "720659169",
            "telephone_number": "870-534-2900",
            "fax_number": "870-534-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 E WOODSON LATERAL RD",
            "city": "HENSLEY",
            "state": "AR",
            "postal_code": "720659169",
            "telephone_number": "870-534-2900",
            "fax_number": "870-534-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "MISHA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton Jenks, DPT
• Chrystal Dian Johnson, M.D.
• Karmin Kidd
• Erin Elizabeth Lafreniere
• Sarah Suzanne Lunsford, O.D.
• Maple Creek Counseling
• Nancy Marchbank, CNA
• Michael McElroy III
• Joshua Aaron Motes, M.D.
• Pathway to Independence Living Services

• Clinical Medical Laboratory in Hensley, AR
• Providers in Hensley, AR by specialty
• Clinical Medical Laboratory in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.