Synergy Diagnostic Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SYNERGY DIAGNOSTIC LAB

Practice address

100 Shadow Oaks Dr
Sherwood, AR 72120-6046

Phone

(501) 833-5025

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Adnan Sadiq

Title

Owner

Phone

(501) 833-5025

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1922852169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHADOW OAKS DR",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721206046",
            "telephone_number": "501-833-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SHADOW OAKS DR",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721206046",
            "telephone_number": "501-833-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY DIAGNOSTIC LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "SADIQ",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-833-5025"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Sutter
• Andrew Swayne
• Kaley Swint
• Norman Swope
• Lanisha Renee Swopes, LPN
• Adrian Tabb
• Christa Leanne Tacker
• Heavenlea Faith Talbert
• Chasitey Nicole Tate
• Mary Lee Tate

• Clinical Medical Laboratory in Sherwood, AR
• Providers in Sherwood, 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 Jul 2, 2024; 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.