Active NPI
Clinical Pathology Laboratory, LLC
- Cytopathology Physician
- El Dorado, AR
National Provider Identifier
1346299732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- 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, 2007
- 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
- Dr. Michael Barry Anreder, M.D.
- Title
- Physician /Owner
- Phone
- (870) 862-1351
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.