Natural State Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NATURAL STATE LABORATORIES, LLC

Practice address

1514 Market St Ste B-100
Little Rock, AR 72211-1816

Phone

(501) 539-1094

NPI assigned

Nov 14, 2018

Organization subpart

No

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

Authorized official

Name

Casey Honeycutt

Title

Evp

Phone

(501) 350-6597

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore Chang, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • North Little Rock, AR
  • NPI 1154617843
  NPD (past)
• Adam J Cole, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Little Rock, AR
  • NPI 1144431883
  NPD (past)
• Nancy Kang Davis, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • North Little Rock, AR
  • NPI 1770621658
  NPD (past)
• Jerad Michael Gardner, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Danville, PA
  • NPI 1568608651
  NPD (past)

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1730658279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722216110",
            "telephone_number": "501-350-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 MARKET ST STE B-100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111816",
            "telephone_number": "501-539-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL STATE LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "HONEYCUTT",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "501-350-6597"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Vision Optical
• Natural State Endodontics
• Natural State Genomics LLC
• Natural State Health Center, LLC
• Natural State Integrative Medicine, P.a.
• Natural State Practice Management (Natural State Women's Health)
• Natural State Recovery Center LLC
• Natural State Retina Inc
• Natural State Womens Health, LLC
• Sally Houston Naucke, RNP

• 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 Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.