RUSSELL B ALLISON (NPI# 1134594229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134594229 |
| Entity Type | Organization |
| Organization Name | RUSSELL B ALLISON |
| Other Organization Name | CENTRAL STATES LABORATORY |
| Practice Address |
5395 W Ash St Ste 1 Pottsville AR 72858-9228 |
| Mailing Address |
Po Box 1146 Russellville AR 72811-1146 |
| Practice Telephone | 4792195034 |
| Mailing Telephone | 4798909292 |
| Mailing Fax Number | 4798906962 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |
| Authorized Official Name | SABRINA PARIS TENCLEVE (PRACTICE MANAGER) |
| Authorized Official Telephone | 4798909292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | CLIA | 04D2089584 | 01 |
| Other Name | Type Code |
|---|---|
| Central States Laboratory | Doing Business As Name - Organization |
| Street Address |
5395 W ASH ST STE 1 |
| City | POTTSVILLE |
| State | AR |
| Zip Code | 72858-9228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992838023 | Samantha Jill Jones | Speech-Language Pathologist | 87 South B St, Pottsville, AR 72858 | 2007-03-14 |
| 1679685093 | Jessica Cherry Fincher | Occupational Therapist | 63 W Cedar St, Pottsville, AR 72858-8717 | 2006-08-31 |
| 1902964471 | Superintendent of Pottsville Schools | Local Education Agency (LEA) | 63 W Cedar St, Pottsville, AR 72858-8717 | 2006-12-05 |
| 1134422454 | Dana Aulgur | Speech-Language Pathologist | 87 South 'b' Street, Pottsville, AR 72858-8721 | 2010-12-08 |
| 1811485121 | Elite Endevors | Ambulance | 129 Marie Dr, Pottsville, AR 72858-8737 | 2018-04-23 |
| 1568562809 | Garry D Hudson | Dentist | 7146 Sr 247, Pottsville, AR 72858-8891 | 2006-09-25 |
| 1164892352 | Bold Dental Pottsville | Dentist | 7146 Sr 247, Pottsville, AR 72858-8891 | 2015-09-30 |
| 1174822001 | Hamilton Hugh Holdings, Pllc | Dentist | 7146 Sr 247, Pottsville, AR 72858-8891 | 2011-03-17 |
| 1457578825 | Pottsville Schools | Local Education Agency (LEA) | 6926 Sr 247, Pottsville, AR 72858-8948 | 2007-04-19 |
| 1144343732 | Melissa Renee King | Speech-Language Pathologist | 2480 Hudson Rd, Pottsville, AR 72858-9094 | 2007-04-09 |
| Find all providers in zip 72858 | ||||
| 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 |
|---|---|---|---|---|
| 1043261183 | Geisinger Clinic | Clinical Medical Laboratory | 529 Terry Reiley Way, Pottsville, PA 17901 | 2006-05-13 |
| 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 | ||||
| City | POTTSVILLE |
| Zip Code | 72858 |
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| 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.