CHI St. Vincent Little Rock Diagnostic Clinic Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC LABORATORY

Doing business as

CHI St. Vincent Little Rock Diagnostic Clinic Laboratory

Practice address

10001 Lile Dr
Little Rock, AR 72205-6217

Phone

(501) 552-0641

Fax

(501) 223-4501

NPI assigned

Oct 9, 2025

Last updated

Oct 9, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

ST. VINCENT MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Chad Aduddell

Title

Market President

Phone

(501) 552-3906

Specialties & licenses 1

Addresses

Other names 1

• CHI St. Vincent Little Rock Diagnostic Clinic Laboratory Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

St Vincent Medical GRP6 organizations share this tax ID, including this one

Part of

St Vincent Medical GRP

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Catholic Health Initiatives -St. Vincent Interfaith Clinic, Inc

  • General Practice Dentistry
  • Conway, AR
  • NPI 1881612703
  NPD tax ID
• Health Clinic East

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1124168919
  NPD tax ID
• Little Rock Internal Medicine

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1285774059
  NPD tax ID
• St Vincent Medical Group

  dba St Vincent Health Clinic East

  • Dentist
  • Little Rock, AR
  • NPI 1861786774
  NPD tax ID
• St Vincent Medical Group

  • Physical Therapist
  • Little Rock, AR
  • NPI 1902157951
  NPD tax ID

Locations

Practitioners 1

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.

• Shiva Nallur, MD

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1780706663
  NPD (past)

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1295600179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 LILE DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056217",
            "telephone_number": "501-552-0641",
            "fax_number": "501-223-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 LILE DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056217",
            "telephone_number": "501-552-0641",
            "fax_number": "501-223-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC LABORATORY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT MEDICAL GROUP",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "ADUDDELL",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "MARKET PRESIDENT",
        "authorized_official_telephone_number": "501-552-3906"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI St. Vincent Little Rock Diagnostic Clinic Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• CHI St. Vincent Employee Pharmacy
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• CHI St. Vincent Infirmary
• Jasen C CHI, M.D.
• Kesha Maria Chiappinelli, JD, IBCLC
• Chibyke Ventures
• Chief Stats Inc
• Kevin Chien

• Clinical Medical Laboratory in Little Rock, AR
• Providers in Little Rock, 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 Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.