Organization
ADVANCED PATHOLOGY SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON CRAIN (FINANCE DIRECTOR)
(501) 225-1400
Entity
Organization
Contact information
Practice address
5328 NORTHSHORE CV, NORTH LITTLE ROCK, AR 72118-5332
(501) 225-1400
(501) 225-1401
Mailing address
5328 NORTHSHORE CV, NORTH LITTLE ROCK, AR 72118-5332
(501) 225-1400
(501) 225-1401
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04554062
—
IL
05
—
1002650900
—
NE
05
—
1053686964
—
IA
05
—
1053686964
—
NC
05
—
184345
—
AL
05
—
198170709
—
AR
05
—
200633580A
—
OH
05
—
201390500A
—
IN
05
—
33124566
—
NJ
05
—
3564890
—
TX
05
—
4554062
—
MS
05
—
700037530
—
MO
05
—
7100437940
—
KY
05
—
905992
—
AZ
05
—
Q028327
—
TN
Enumeration date
03/12/2012
Last updated
04/05/2024
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