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ADVANCED TISSUE LLC NPI 1962515783


NPI Information

NPI: 1962515783
Provider Name: ADVANCED TISSUE, LLC

Doing Business As: ADVANCED TISSUE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
7003 VALLEY RANCH DR
LITTLE ROCK, AR
ZIP 72223
Phone: (501) 217-9900
Get Directions

ADVANCED TISSUE, LLC is a durable medical equipment medical supplies in Little Rock, AR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ADVANCED TISSUE, LLC NPI is 1962515783. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Tissue.

The provider's business location address is:

7003 VALLEY RANCH DR
LITTLE ROCK, AR
ZIP 72223-696
Phone: (501) 217-9900
Fax: (501) 217-9939

The provider's authorized official is Douglas Kevin Lamb .
The authorized official title is Chief Executive Officer and has the following contact phone number (501) 217-9900.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 10/2/2015.


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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
11000037816MEDICAIDDELAWARE
2009966110MEDICAIDALABAMA
31153184MEDICAIDLOUISIANA
434637036MEDICAIDCOLORADO
5401946600MEDICAIDMARYLAND
60563775MEDICAIDIOWA
70031177MEDICAIDCONNECTICUT
8806569500MEDICAIDIDAHO
9000979536AMEDICAIDGEORGIA
10MS151ARMEDICAIDALASKA
11143955716MEDICAIDARKANSAS
12431825000MEDICAIDMAINE
13874487746MEDICAIDMICHIGAN
14=========001MEDICAIDILLINOIS
150440992MEDICAIDMISSISSIPPI
16200446340AMEDICAIDINDIANA
17733982MEDICAIDARIZONA
18984669700MEDICAIDMINNESOTA
194229610001MEDICARE NSC
2090003740MEDICAIDKENTUCKY

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.