Medical Laboratories of Arkansas, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLIA-04D1053341 Issued in AR

Legal business name

MEDICAL LABORATORIES OF ARKANSAS, INC.

Practice address

9601 Lile Dr
Suite 108
Little Rock, AR 72205-6321

Phone

(501) 202-6522

Fax

(501) 202-1429

NPI assigned

May 28, 2006

Last updated

May 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stacey Hines

Title

Director of Patient Accounts

Phone

(501) 812-7508

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Baptist Health

  dba Baptist Health Family Clinic - Russellville

  • Rural Health Clinic/Center
  • Russellville, AR
  • NPI 1689467102

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1255388997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 LILE DR",
            "address_2": "SUITE 108",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-202-6522",
            "fax_number": "501-202-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 LILE DR",
            "address_2": "SUITE 108",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-202-6522",
            "fax_number": "501-202-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL LABORATORIES OF ARKANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "501-812-7508",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AR",
            "license": "CLIA-04D1053341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162836709",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Diagnostics of LR
• Medical Emergency Trauma Associates, PLLC
• Medical Hearing Associates of Arkansas, LLC
• Medical Hearing Associates of Arkansas, LLC
• Medical Investments of Little Rock, LLC
• Victoria M Medina Carbonell, MD
• Daniel Enrique Medina, MED, CCC-SLP
• Halle Medley, LPC
• Mya Medley
• Rickey D Medlock, M.D.

• Clinical Medical Laboratory in Little Rock, AR
• Providers in Little Rock, 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 May 28, 2008; 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.