Organization Active NPI

Physicians Laboratories of America

  • Clinical Medical Laboratory
  • Little Rock, AR
National Provider Identifier
1790024131
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PHYSICIANS LABORATORIES OF AMERICA
Practice address
10 Corporate Hill Dr Ste 180
Little Rock, AR 72205-4562
Phone
(877) 202-5227
Fax
(501) 408-3439
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Janet Richmond
Title
Manager
Phone
(501) 712-1396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

10 Corporate Hill Dr Ste 180
Little Rock, AR 72205-4562

Mailing address

10 Corporate Hill Dr Ste 180
Little Rock, AR 72205-4562
Phone (877) 202-5227

Other identifiers 1

IdentifierTypeStateIssuer
291U00000XOtherARTAXONOMY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180301000013 AR Part B Supplier - Independent Clinical Laboratory 6406117761 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
04D2042678Physicians Laboratories of America LLC10 Corporate Hill Drive Suite 180, Little Rock, AR 72205ComplianceAug 1, 2027

National Provider Directory

National Provider Directory

Locations

10 Corporate Hill Dr
Ste 180
Little Rock, AR 72205
Phone (877) 202-5227

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1790024131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CORPORATE HILL DR STE 180",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054562",
            "telephone_number": "877-202-5227",
            "fax_number": "501-408-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CORPORATE HILL DR STE 180",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054562",
            "telephone_number": "877-202-5227",
            "fax_number": "501-408-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS LABORATORIES OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "501-712-1396"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "291U00000X",
            "state": "AR"
        }
    ],
    "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 Jun 19, 2023; 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.