Active NPI
Pathnet, LLC
- Anatomic Pathology & Clinical Pathology Physician
- Little Rock, AR
National Provider Identifier
1326642083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- PATHNET, LLC
- Practice address
- 1514 Market St Ste 125B
Little Rock, AR 72211-1979 - Phone
- (501) 500-6565
- Fax
- (501) 500-6681
- NPI assigned
- Nov 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bregette L Brady
- Title
- Business Office Manager
- Phone
- (501) 500-6767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
1514 Market St Ste 125B
Little Rock, AR 72211-1979
Mailing address
1514 Market St Ste 125B
Little Rock, AR 72211-1979
Phone (501) 500-6767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, AR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210527002445 | UT | Part B Supplier - Independent Clinical Laboratory | 1557778230 | Practice locations: Lehi, UT |
| O20210616003270 | AR | Part B Supplier - Independent Clinical Laboratory | 1557778230 | Practice locations: Little Rock, AR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2144056 | Pathnet LLC | Compliance | Jan 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
5100 Talley Rd
Ste 300
Little Rock, AR 72204
Phone (501) 500-6640
1514 Market St
Ste B125
Little Rock, AR 72211
Phone (501) 500-6565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772064000000",
"number": "1326642083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 MARKET ST STE 125B",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722111979",
"telephone_number": "501-500-6767",
"fax_number": "501-500-6681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 MARKET ST STE 125B",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722111979",
"telephone_number": "501-500-6565",
"fax_number": "501-500-6681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHNET, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-24",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A",
"authorized_official_last_name": "BRADY",
"authorized_official_first_name": "BREGETTE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "501-500-6767"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.