COASTAL LABORATORY OF ARKANSAS (NPI# 1972069177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972069177 |
| Entity Type | Organization |
| Organization Name | COASTAL LABORATORY OF ARKANSAS |
| Practice Address |
1012b E 22nd St Stuttgart AR 72160-6825 |
| Mailing Address |
2105 Beumer St Stuttgart AR 72160-6423 |
| Practice Telephone | 8706747453 |
| Mailing Telephone | 8706747453 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-06-07 |
| Authorized Official Name | DR. CHRIS MORGAN (MANAGING PARTNER) |
| Authorized Official Telephone | 8706747453 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
1012B E 22ND ST |
| City | STUTTGART |
| State | AR |
| Zip Code | 72160-6825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346514403 | Karri Jo Mitchell | Nurse Practitioner | 1012b E 22nd St, Stuttgart, AR 72160-6825 | 2012-03-06 |
| 1235695487 | Kimberly Morgan | Technician, Other | 1012b E 22nd St, Stuttgart, AR 72160-6825 | 2019-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205325842 | Chiquita K. Holt Counseling | Counselor | 201 East 16th Street, (s.a.a.), Stuttgart, AR 72160 | 2018-05-09 |
| 1417409343 | Loura Flowers | Nursing Care | 2204 S Timber Street, Stuttgart, AR 72160 | 2016-10-26 |
| 1558730648 | Marathon Health, Inc. | Nurse Practitioner | 512 W Lennox Road, C/o Lennox Employee Health Center, Stuttgart, AR 72160 | 2015-09-18 |
| 1346679388 | Stephanie Patyk | Family Medicine | 1609 N Medical Drive, Stuttgart, AR 72160 | 2013-11-08 |
| 1386964708 | Kathryn M Morris | Nurse Practitioner | 1012 B East 22nd St, Stuttgart, AR 72160 | 2010-06-08 |
| 1457565400 | Professional Pharmacy | Pharmacy | 1515 N. Medical Drive, Stuttgart, AR 72160 | 2007-05-09 |
| 1770626244 | Terry Judson Smith | Pharmacist | 1515 N. Medical Dr., Stuttgart, AR 72160 | 2007-02-15 |
| 1497770242 | Grand Prairie Physical Therapy of Stuttgart, Inc. | Clinic/Center | 2105 S Main St, Stuttgart, AR 72160 | 2006-07-13 |
| 1083663041 | Janis W Hillman | Social Worker | 121 Commercial Drive B, Stuttgart, AR 72160 | 2006-05-08 |
| 1811973779 | George M Dunn Jr. | Optometrist | 310 West 22nd Street, Stuttgart, AR 72160 | 2005-12-21 |
| Find all providers in zip 72160 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740823194 | Greenwood Labs, LLC | Clinical Medical Laboratory | 8907 Kanis Rd Ste 401, Little Rock, AR 72205-6400 | 2019-10-17 |
| 1437718707 | Lab One LLC | Clinical Medical Laboratory | 625 United Dr Ste 170, Conway, AR 72032-7826 | 2019-06-11 |
| 1326606195 | Biomolecular Integrations Inc | Clinical Medical Laboratory | 7481 Warden Rd Ste C, Sherwood, AR 72120-5041 | 2019-06-05 |
| 1558929224 | Ar Journey Lab LLC | Clinical Medical Laboratory | 1705 Central Ave, Hot Springs, AR 71901-6850 | 2019-05-29 |
| 1629632203 | Exacta Laboratory Systems, LLC | Clinical Medical Laboratory | 2400 E Kiehl Ave, Sherwood, AR 72120-3136 | 2019-04-29 |
| 1730658279 | Natural State Laboratories, LLC | Clinical Medical Laboratory | 4851 Northshore Ln, North Little Rock, AR 72118-5329 | 2018-11-14 |
| 1275001851 | Cquentia Arkansas Lab LLC | Clinical Medical Laboratory | 112 W Center St Ste 504, Fayetteville, AR 72701-6073 | 2018-11-13 |
| 1568949436 | Stateline Medical Ar LLC | Clinical Medical Laboratory | 12204 W Highway 62, Farmington, AR 72730-9560 | 2018-07-24 |
| 1154822567 | Ares Laboratory LLC | Clinical Medical Laboratory | 14524 Cantrell Rd Ste 100b, Little Rock, AR 72223-4700 | 2018-02-22 |
| 1033638069 | Bds Healthcare LLC | Clinical Medical Laboratory | 1311 Fort St Ste M, Barling, AR 72923-2045 | 2017-09-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COASTAL LABORATORY OF ARKANSAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.