Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pathology Services Laboratory PA

Clinical Medical Laboratory in Russellville, AR · enumerated 2006 · authorized official Christina Jetton, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093889347

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Registry record

Entity type Organization (Type 2)

Legal business name Pathology Services Laboratory PA

Practice address 1430 West C Street, Russellville, AR, 72811

Phone (479) 968-6781

Fax (479) 968-3074

Enumeration date Nov 20, 2006

Last updated in NPPES May 31, 2024

Taxonomy & classification

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians Secondary

291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Christina Jetton

Title President

Phone (479) 968-6781

Other identifiers

Identifier	Type	State	Issuer
103882709	Medicaid	AR	-
MC0330	Other	AR	LICENSE NUMBER
770091902	Other	-	BREASTCARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-05-31. Verify at npiregistry.cms.hhs.gov.

Where is Pathology Services Laboratory PA located?

The practice location on file with NPPES is in Russellville, AR.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-31.