Greenwood Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GREENWOOD LABS, LLC

Practice address

8907 Kanis Rd Ste 401
Little Rock, AR 72205-6400

Phone

(501) 747-1343

Fax

(501) 747-2203

NPI assigned

Oct 17, 2019

Last updated

Mar 17, 2020By 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

Doris Stout

Title

Manager

Phone

(501) 747-1343

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1740823194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56440",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722156440",
            "telephone_number": "501-747-1343",
            "fax_number": "501-747-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 KANIS RD STE 401",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056400",
            "telephone_number": "501-747-1343",
            "fax_number": "501-747-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "501-747-1343"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "BL158884",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Greenfield, MD
• David Jonathan Greengart, M.D.
• Greenlight Consulting, LLC
• Jennifer Brooke Greeno-Fletcher, APRN
• C Don Greenway, M.D.
• Denise Rochelle Greenwood, MD
• Megan M Greenwood, LPC
• Michael Greenwood, MHPP
• Angelena Renee Greer
• Cortney Greer

• 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 Mar 17, 2020; 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.