MD Pathology, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MD PATHOLOGY, LLC

Practice address

11904 Kanis Rd
Suite H7
Little Rock, AR 72211-3733

Phone

(501) 687-9220

NPI assigned

Dec 14, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Hartshorn

Title

Vice President

Phone

(314) 803-0330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1942546213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 CLARKSON CLAYTON CTR",
            "address_2": "PO BOX 316",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112145",
            "telephone_number": "314-803-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11904 KANIS RD",
            "address_2": "SUITE H7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113733",
            "telephone_number": "501-687-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "HARTSHORN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-803-0330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charissa Marie McVay, APRN
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• Brittany McWatters, MD
• Elizabeth McWeeny, M.S., CCC-SLP
• Pamela McWilliams
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• Laura Jean Meachum Mencer, APN
• Rodrigo Meade

• 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 Dec 14, 2012; 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.