Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pathology Services Laboratory PA

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1831158369

Pathology Services Laboratory PA is an Anatomic Pathology & Clinical Pathology Physician in Russellville, Arkansas. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1430 W C St
Russellville, AR 72801
Phone: (479) 968-6781
Fax: (479) 968-3074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X

Record details

NPI number1831158369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christina Jetton — President · (479) 968-6781
NPI enumeratedMarch 22, 2006
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024
Mailing addressPo Box 925, Russellville, AR 72811

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