Aristotle Diagnostic Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ARISTOTLE DIAGNOSTIC LABORATORIES, LLC

Practice address

1120 Hogan Lane
Suite C
Conway, AR 72034

Phone

(855) 941-5227

Fax

(501) 358-6806

NPI assigned

Apr 20, 2022

Last updated

Jan 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Robb Grice

Title

Managing Partner

Phone

(501) 504-6663

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1023751633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 HOGAN LANE",
            "address_2": "SUITE C",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-504-6663",
            "fax_number": "501-358-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HOGAN LANE",
            "address_2": "SUITE C",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "855-941-5227",
            "fax_number": "501-358-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISTOTLE DIAGNOSTIC LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "GRICE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ROBB",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "501-504-6663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2600681",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288430709",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLA",
            "identifier": "04D2253867",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arcare (ARcare Pharmacy103)
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• George John Arcos, DO
• Aris
• Ark Angel Caregivers
• Arkansas Allergy & Asthma Clinic, P.a.
• Arkansas Audiology, Inc
• Arkansas Back Institute PA
• Arkansas Compression Shop LLC

• Clinical Medical Laboratory in Conway, AR
• Providers in Conway, AR by specialty
• Clinical Medical Laboratory in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.