Active NPI
Physicians Laboratories of America
- Clinical Medical Laboratory
- Little Rock, AR
National Provider Identifier
1790024131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291U00000X | Other | AR | TAXONOMY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180301000013 | AR | Part B Supplier - Independent Clinical Laboratory | 6406117761 | Practice locations: Little Rock, AR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2042678 | Physicians Laboratories of America LLC | Compliance | Aug 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pain Medicine Physician
- Little Rock, AR
- NPI 1821050618
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.