Provider Demographics
NPI: | 1003532276 |
---|---|
Name: | ANDERSON, ORLANDO (MLS (ASCP)) |
Entity Type: | Individual |
Prefix: | |
First Name: | ORLANDO |
Middle Name: | |
Last Name: | ANDERSON |
Suffix: | |
Gender: | M |
Credentials: | MLS (ASCP) |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 1008 REGAL DR |
Mailing Address - Street 2: | |
Mailing Address - City: | NORTH LITTLE ROCK |
Mailing Address - State: | AR |
Mailing Address - Zip Code: | 72118-2642 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 501-310-1322 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 4300 W 7TH ST |
Practice Address - Street 2: | |
Practice Address - City: | LITTLE ROCK |
Practice Address - State: | AR |
Practice Address - Zip Code: | 72205-5446 |
Practice Address - Country: | US |
Practice Address - Phone: | 501-257-1000 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2022-10-18 |
Last Update Date: | 2022-10-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 246RM2200X | Technologists, Technicians & Other Technical Service Providers | Technician, Pathology | Medical Laboratory |
No | 246QB0000X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | Blood Banking |
No | 246QC1000X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | Chemistry |
No | 246QH0000X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | Hematology |
No | 246QI0000X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | Immunology |
No | 246QM0706X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | Medical Technologist |
No | 246QM0900X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | Microbiology |
No | 246RP1900X | Technologists, Technicians & Other Technical Service Providers | Technician, Pathology | Phlebotomy |