Organization Active NPI

Clinical Pathology Laboratory, LLC

  • Cytopathology Physician
  • El Dorado, AR
National Provider Identifier
1346299732
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
Legal business name
CLINICAL PATHOLOGY LABORATORY, LLC
Practice address
208 Thompson Ave
El Dorado, AR 71730-5756
Phone
(870) 862-1351
Fax
(870) 862-2815
NPI assigned
May 10, 2006
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Dr. Michael Barry Anreder, M.D.
Title
Physician /Owner
Phone
(870) 862-1351

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X NU Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU

Addresses

Primary practice location

208 Thompson Ave
El Dorado, AR 71730-5756

Mailing address

208 Thompson Ave
El Dorado, AR 71730-5756
Phone (870) 862-1351

National Provider Directory

National Provider Directory

Locations

208 Thompson Ave
El Dorado, AR 71730
Phone (870) 862-1351

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1346299732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 THOMPSON AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717305756",
            "telephone_number": "870-862-1351",
            "fax_number": "870-862-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 THOMPSON AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717305756",
            "telephone_number": "870-862-1351",
            "fax_number": "870-862-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PATHOLOGY LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "ANREDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PHYSICIAN /OWNER",
        "authorized_official_telephone_number": "870-862-1351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.