NEA BAPTIST CLINIC – NPI #1801127030
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.

NEA BAPTIST CLINIC is a clinical medical laboratory located in JONESBORO, AR. NPPES has assigned the NPI number 1801127030 to NEA BAPTIST CLINIC on January 28, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NEA BAPTIST CLINIC” is a dba name, the actual legal business name for this organization is NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.. The primary taxonomy selected by this provider is 291U00000X from the Health Care Provider Taxonomy code set, which is classified as Clinical Medical Laboratory.

The NPI profile was previously updated about 6 years ago on Sep 30, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEA BAPTIST CLINIC below.

NPI Profile for
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.

NPI Number
1801127030
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.
Doing Business As (dba): NEA BAPTIST CLINIC
Primary location
4802 E. JOHNSON AVENUE
JONESBORO, AR 72401
Phone: (870) 936-8000 Fax: (870) 932-3608
Mailing address
350 N HUMPHREYS BLVD
MEMPHIS, TN 38120-2177
Phone: (901) 227-5233 Fax:
Organization Subpart
No
Authorized Official
GREGORY DUCKETT
SR VP/ CLO
Phone: (901) 227-5233
Updated
Certification Date
Sep 30, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
291U00000X
- Clinical Medical Laboratory (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.