PATHOLOGY SERVICES LABORATORY PA
NPI 1093889347
Clinical Medical Laboratory in Russellville, AR

Active since November 20, 2006CLIA 04D0468992 · Certificate of Compliance
1430 WEST C STREET, RUSSELLVILLE, AR 72811(479) 968-6781(479) 968-3074 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pathology Services Laboratory Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATHOLOGY SERVICES LABORATORY PA (NPI 1093889347) is a healthcare organization registered as a clinical medical laboratory in Russellville, Arkansas and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 18, 2027 and lists Christina Ann Jetton, President, as its authorized official.

NPPES Registry Identity

NPI1093889347
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePATHOLOGY SERVICES LABORATORY PA
Location Address1430 WEST C STREETRussellville, AR 72811-0925
Mailing AddressPo Box 925Russellville, AR 72811-0925 · (479) 968-6781 · Fax (479) 968-3074
Fax(479) 968-3074
Organization SubpartNo
Authorized OfficialChristina Ann JettonPresident · (479) 968-6781
Enumeration DateNovember 20, 2006
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
NPI 1093889347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1430 WEST C STREET, Russellville, AR 72811

Other Identifiers 3

Medicaid103882709AR
OtherMC0330AR · License Number
Other770091902Breastcare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 04D0468992

Pathology Services Laboratory PA · Russellville, AR
Active · expires May 18, 2027
CLIA Number04D0468992
Laboratory TypeIndependent
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorDr. Christina A. Jetton
Laboratory Phone(479) 968-6781
Laboratory LocationPathology Services Laboratory PA1430 West C Street, Russellville, AR 72801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 24

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,981 services1,225 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,361 services608 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
420 services380 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
372 services101 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
339 services321 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
248 services176 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pathology Services Laboratory PA's NPI number?

The NPI number for Pathology Services Laboratory PA is 1093889347. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Pathology Services Laboratory PA located?

Pathology Services Laboratory PA is located at 1430 West C Street, Russellville, AR 72811. The listed phone number is (479) 968-6781.

What is Pathology Services Laboratory PA's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Pathology Services Laboratory PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D0468992) is associated with this NPI, valid through May 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pathology Services Laboratory PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Pathology Services Laboratory PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pathology Services Laboratory PA was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.