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LITTLE ROCK DIAGNOSTIC CLINIC PA NPI 1760418891


NPI Information

NPI: 1760418891
Provider Name: LITTLE ROCK DIAGNOSTIC CLINIC PA

Doing Business As: LITTLE ROCK DIAGNOSTIC CLINIC ASC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
10001 LILE DR
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 227-8000
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LITTLE ROCK DIAGNOSTIC CLINIC PA is an ambulatory surgical clinic center in Little Rock, AR. LITTLE ROCK DIAGNOSTIC CLINIC PA NPI is 1760418891. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Little Rock Diagnostic Clinic Asc.

The provider's business location address is:

10001 LILE DR
LITTLE ROCK, AR
ZIP 72205-217
Phone: (501) 227-8000
Fax: (501) 221-5895

The provider's authorized official is Darlene Carol Hebda .
The authorized official title is Credentialing Coordinator and has the following contact phone number (501) 223-4543.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 3/7/2018.


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
1207R00000XInternal MedicineNo
2261QA1903XClinic/CenterAmbulatory SurgicalARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1122223128MEDICAIDARKANSAS

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

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