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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376590083 | NPPES |
Arkansas | Other | 770093502 | BREASTCARE |
Arkansas | Other | 57283 | BREASTCARE |
Arkansas | MEDICAID | 110247002 | BREASTCARE |
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