Drs. Tisdale & Clark Pathologists

LBN: South Arkansas Pathology, Pllc
Drs. Tisdale & Clark Pathologists is an health care organization with primary practice located at 1600 W 40Th Ave , Pine Bluff AR 71603-6301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. South Arkansas Pathology, Pllc can be contacted via phone (870) 541-7524, or through Harris, Julie A via phone (870) 541-7524.

Contact Information

Primary practice address
1600 W 40Th Ave Pine Bluff AR 71603-6301
Phone: (870) 541-7524
Fax: (870) 541-7543
Website:
Map and Directions
Authorized official contact:
Name: Harris, Julie A Doctor of Medicine (MD)
Phone: (870) 541-7524

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1376590083
LBN Legal business name South Arkansas Pathology, Pllc
DBA Doing business as Drs. Tisdale & Clark Pathologists
Authorized official Harris, Julie A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 28th, 2006
Last updated Oct 26th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376590083 NPPES
Arkansas Other 770093502 BREASTCARE
Arkansas Other 57283 BREASTCARE
Arkansas MEDICAID 110247002 BREASTCARE

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