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NPI Code Detail

MEDICARE: ARKANSAS PATHOLOGY ASSOCIATES PA

MEDICARE: ARKANSAS PATHOLOGY ASSOCIATES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZC0500XCytopathology PhysicianE3344AR
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianC7738AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033171467
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARKANSAS PATHOLOGY ASSOCIATES PA
Provider Business Mailing Address
First Line : PO BOX 55148
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72215-5148
Country : US
Telephone Number : 501-663-4116
Fax Number : 501-663-4301
Provider Business Practice Location Address
First Line : 1000 N UNIVERSITY AVE
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72207-6347
Country : US
Telephone Number : 501-663-4116
Fax Number : 501-663-4301
Authorized Official
Title or Position : BUSINESS MANAGER
Name : STACY M. HARTLEIN
Credential : MBA, CT(ASCP)
Telephone Number : 501-663-4116
Provider Enumeration Date : 04/03/2006
Last Update Date : 07/18/2025

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Practice Location Address:
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1063470730 — ENDOSCOPY CENTER OF ARKANSAS, LLC
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1821007501 — ARKANSAS ONCOLOGY ASSOCIATES
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1000 N UNIVERSITY AVE
LITTLE ROCK, AR
72207-6347
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1144463209 — MRS. KRISTIN MITCHELL DISHONGH M.D.
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1376876839 — KELLY DAWN SWEENEY RNP BSN
Practice Location Address:
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1366768566 — SALLY HOUSTON NAUCKE RNP
Practice Location Address:
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Directions to “ARKANSAS PATHOLOGY ASSOCIATES PA ” Practice Location

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