Organization
NEPHROPATHOLOGY ASSOCIATES, PLC
Active
Other names
Arkana Laboratories, NephroPath
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER PATRICK LARSEN MD (EXECUTIVE DIRECTOR, OWNER)
(501) 604-2695
Entity
Organization
Contact information
Practice address
10810 EXECUTIVE CENTER DR, SUITE 100, LITTLE ROCK, AR 72211-4386
(501) 604-2695
(501) 604-2699
Mailing address
10810 EXECUTIVE CENTER DR, SUITE 100, LITTLE ROCK, AR 72211-4386
(501) 604-2695
(501) 604-2699
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MC-2034
AR
291U00000X
Clinical Medical Laboratory
MC-2034
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1504795
—
TN
05
—
200279440 A
—
OK
05
—
210587601
—
TX
05
—
272534
—
OR
05
—
368483
—
AZ
05
—
3810017266B
—
WV
05
—
529911940
—
AL
05
—
807547100
—
ID
05
—
912012200
—
FL
05
—
95323287
—
CO
05
—
L00307
—
SC
01
—
N210291
WELLCARE, FL HEALTHEASE ONLY
FL
Enumeration date
12/04/2006
Last updated
12/08/2021
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