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SMA MEDICINE & NEPHROLOGY CLINIC LLC NPI 1437209491


NPI Information

NPI: 1437209491
Provider Name: SMA MEDICINE & NEPHROLOGY CLINIC LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 04D1002569

Address:
500 S. UNIVERSITY AVE
SUITE 306
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 603-9277
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SMA MEDICINE & NEPHROLOGY CLINIC LLC is a clinic center in Little Rock, AR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SMA MEDICINE & NEPHROLOGY CLINIC LLC NPI is 1437209491. The provider is registered as an organization entity type.

The provider's business location address is:

500 S. UNIVERSITY AVE
SUITE 306
LITTLE ROCK, AR
ZIP 72205-342
Phone: (501) 603-9277
Fax: (501) 603-9877

The provider's authorized official is Moses C Ejiofor .
The authorized official title is President and has the following contact phone number (501) 603-9277.

The CLIA number assigned to this NPI record is 04D1002569 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 11/30/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.