Organization
NORTHWEST ARKANSAS PATHOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN CROOK (VICE PRESIDENT)
(479) 442-0144
Entity
Organization
Contact information
Practice address
390 E LONGVIEW ST, FAYETTEVILLE, AR 72703-4618
(479) 442-0144
(479) 442-4557
Mailing address
390 E LONGVIEW ST, FAYETTEVILLE, AR 72703-4618
(479) 442-0144
(479) 442-4557
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116874002
—
AR
Enumeration date
10/16/2012
Last updated
10/20/2023
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