PHOENIX LABS LLC
NPI 1760994453
Pathology - Clinical Laboratory Director, Non-physician in Little Rock, AR

Active since November 02, 2017
11908 KANIS RD STE G8, LITTLE ROCK, AR 72211(501) 228-5556(501) 228-5558 Get Directions Write a Review

NPPES record last updated: November 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Labs Llc NPPES

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

PHOENIX LABS LLC (NPI 1760994453) is a healthcare organization registered as a clinical laboratory director, non-physician in Little Rock, Arkansas and active in the NPI registry since November 2017. The organization lists Erin C Thomas, Hr, as its authorized official.

NPPES Registry Identity

NPI1760994453
Entity TypeOrganization
Primary Taxonomy247ZC0005X
Legal Business NamePHOENIX LABS LLC
Location Address11908 KANIS RD STE G8Little Rock, AR 72211-3773
Mailing Address11908 Kanis Rd Ste G8Little Rock, AR 72211-3773 · (501) 228-5556 · Fax (501) 228-5558
Fax(501) 228-5558
Organization SubpartNo
Authorized OfficialErin C ThomasHr · (501) 227-7688
Enumeration DateNovember 2, 2017
NPI 1760994453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
License Licensed in AR · BL155832
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
11908 KANIS RD STE G8, Little Rock, AR 72211

Other Identifiers 2

OtherBL155832AR · Business License
Other66366858-SLSAR · State Sales Tax Id

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Phoenix Labs LLC's NPI number?

The NPI number for Phoenix Labs LLC is 1760994453. It was assigned to this organization in the NPPES registry on November 2, 2017.

Where is Phoenix Labs LLC located?

Phoenix Labs LLC is located at 11908 Kanis Rd Ste G8, Little Rock, AR 72211. The listed phone number is (501) 228-5556.

What is Phoenix Labs LLC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Phoenix Labs LLC was last updated on November 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.