Little Rock Diagnostic Clinic Pa

LBN: Little Rock Diagnostic Clinic Pa
Little Rock Diagnostic Clinic Pa is an health care organization with primary practice located at 10001 Lile Dr , Little Rock AR 72205-6217. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Little Rock Diagnostic Clinic Pa can be contacted via phone (501) 227-8000, or through Jackson, Laura via phone (501) 227-8000.

Contact Information

Primary practice address
10001 Lile Dr Little Rock AR 72205-6217
Fax: (501) 221-5895
Website:
Authorized official contact:
Name: Jackson, Laura

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1497784854
LBN Legal business name Little Rock Diagnostic Clinic Pa
DBA Doing business as
Authorized official Jackson, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2006
Last updated Nov 8th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497784854 NPPES
Arkansas MEDICAID 104282002

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