Active NPI
Infinite Genomics LLC
Doing business as InGen Labs
- Clinical Medical Laboratory
- North Little Rock, AR
National Provider Identifier
1376206425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- INFINITE GENOMICS LLC
- Doing business as
- InGen Labs
- Practice address
- 4850 Northshore LN
North Little Rock, AR 72118-5329 - Phone
- (501) 798-7100
- Fax
- (501) 798-7101
- NPI assigned
- Oct 15, 2021
- Last updated
- Sep 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brent Staggs
- Title
- Ceo
- Phone
- (501) 798-7100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary | |
| Anatomic Pathology Physician | 207ZP0101X | NU |
Addresses
Primary practice location
4850 Northshore LN
North Little Rock, AR 72118-5329
Mailing address
4850 Northshore LN
North Little Rock, AR 72118-5329
Phone (501) 798-7100
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0477871 | Medicaid | OH | |
| 2276860 | Medicaid | WA | |
| 700109508 | Medicaid | MO | |
| 9000203807 | Medicaid | CO | |
| 213897200 | Medicaid | WY | |
| 89405889 | Medicaid | NM | |
| 290638709 | Medicaid | AR | |
| 30004802830001 | Medicaid | KS | |
| 1376206425 | Medicaid | WI | |
| 7100983310 | Medicaid | KY | |
| 322000 | Medicaid | AL |
Other names 1
- InGen Labs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211207000486 | AR | Part B Supplier - Independent Clinical Laboratory | 7719377712 | Practice locations: North Little Rock, AR |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Infinite Genomics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- North Little Rock, AR
- NPI 1740179282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1376206425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 NORTHSHORE LN",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721185329",
"telephone_number": "501-798-7100",
"fax_number": "501-798-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 NORTHSHORE LN",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721185329",
"telephone_number": "501-798-7100",
"fax_number": "501-798-7101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFINITE GENOMICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-15",
"last_updated": "2025-09-02",
"certification_date": "2025-04-09",
"status": "A",
"authorized_official_last_name": "STAGGS",
"authorized_official_first_name": "BRENT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "501-798-7100"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0477871",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2276860",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "700109508",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000203807",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "213897200",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89405889",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "290638709",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30004802830001",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376206425",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100983310",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "322000",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "InGen Labs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Little Rock, AR
- Id of Central Arkansas, PLLC (Infectious Diseases Arkansas)
- Iiii Optical - Dog Town LLC
- Incura of Little Rock PA
- Infant Formulas Inc. (Abc Medical Supply)
- Infinite Genomics
- Infinite Genomics LLC
- George Richard Ingalls, LCSW
- Leah Ingraham, LCSW
- Robert Quinn Ingraham II, M.D.
- Deshondra Ingram Irby, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.