NPIMap

Organization Active NPI

Arkansas Diagnostic Center, PA

  • Specialist
  • Little Rock, AR
National Provider Identifier
1003259490
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
BL109593 Issued in AR
Legal business name
ARKANSAS DIAGNOSTIC CENTER, PA
Practice address
8908 Kanis Rd
Little Rock, AR 72205-6414
Phone
(501) 227-7688
Fax
(501) 228-3509
NPI assigned
Apr 16, 2013
Last updated
Apr 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Marion York
Title
Office Administrator
Phone
(501) 227-7688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X BL109593 AR Primary

Addresses

Primary practice location

8908 Kanis Rd
Little Rock, AR 72205-6414

Mailing address

PO Box 55130
Little Rock, AR 72215-5130
Phone (501) 227-7688

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1003259490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55130",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155130",
            "telephone_number": "501-227-7688",
            "fax_number": "501-228-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8908 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056414",
            "telephone_number": "501-227-7688",
            "fax_number": "501-228-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS DIAGNOSTIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "501-227-7688",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "BL109593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.