Namida Lab Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NAMIDA LAB INC.

Practice address

1905 E Mission Blvd Ste 6
Fayetteville, AR 72703-3129

Phone

(479) 334-2828

NPI assigned

Jul 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mike Rutherford, PH.D.

Title

Director of Operations

Phone

(479) 334-2834

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1124646013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E MISSION BLVD STE 6",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033129",
            "telephone_number": "479-334-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 E MISSION BLVD STE 6",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033129",
            "telephone_number": "479-334-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAMIDA LAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "479-334-2834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Marie Nachatigal, LAC
• Alyssa F Nagel, LPC
• Sunitha Ann Nair, M.D.
• Larissa Nall, PTA
• Yolanda L Nally, LCSW
• Nilima Soni Nanisetty, MA/CCC-SLP
• Heather Napier
• Tresa Dawn Napier, LDO,ABO,COA
• Heidi Elan Nash, MHPP/TEACHER
• Nathan L Williams PHD PLLC

• Clinical Medical Laboratory in Fayetteville, AR
• Providers in Fayetteville, 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 Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.