Organization Active NPI

Paterson Diagnostics Inc

  • Clinical Pathology/Laboratory Medicine Physician
  • Little Rock, AR
National Provider Identifier
1740839992
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
Legal business name
PATERSON DIAGNOSTICS INC
Practice address
11912 Kanis Rd Ste F4
Little Rock, AR 72211-3771
Phone
(501) 231-0305
NPI assigned
Sep 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Dr. Fengjuan Zhang, MDNPI 1699865196
Title
Director
Phone
(501) 231-0305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0105X Primary

Addresses

Primary practice location

11912 Kanis Rd Ste F4
Little Rock, AR 72211-3771

Mailing address

PO Box 86
Jericho, NY 11753-0086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200122000166 AR Part B Supplier - Independent Clinical Laboratory 2567897549 Practice locations: Little Rock, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2172326Paterson Diagnostics, Inc11912 Kanis Road, Suite F4, Little Rock, AR 72211ComplianceDec 22, 2026

National Provider Directory

National Provider Directory

Locations

11912 Kanis Rd
Ste F4
Little Rock, AR 72211
Phone (501) 231-0305

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1740839992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117530086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 KANIS RD STE F4",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113771",
            "telephone_number": "501-231-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATERSON DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "FENGJUAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "501-231-0305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "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 Sep 10, 2019; 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.

Verify at the official NPI Registry.