# LAB OF PATH, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831167196
- **Authorized official:** DR. JAMES HENRY GOLLEHER SR. M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (501) 268-8175

## Contact information

- **Practice address:** 1915 W BEEBE CAPPS EXPY, SEARCY, AR 72143-5012
- **Practice address phone:** (501) 268-8175
- **Practice address fax:** (501) 268-8337
- **Mailing address:** 1915 W BEEBE CAPPS EXPY, SEARCY, AR 72143-5012
- **Mailing address phone:** (501) 268-8175
- **Mailing address fax:** (501) 268-8337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | MC0253 | AR | Yes |
| 291U00000X | Clinical Medical Laboratory | MC0253 | AR | — |

## Other

- **Enumeration date:** 03/10/2006
- **Last updated:** 12/05/2013