Active NPI
Medical Diagnostics of LR
- Internal Medicine Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C4920
- Legal business name
- MEDICAL DIAGNOSTICS OF LR
- Practice address
- 10001 Lile Dr
Little Rock, AR 72205-6217 - Phone
- (501) 227-8000
- NPI assigned
- Jan 22, 2007
- Last updated
- Dec 21, 2011
- 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
- Dr. Thomas D Cain, M.D.
- Title
- President
- Phone
- (501) 227-8000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C4920 | AR | Primary |
Addresses
Primary practice location
10001 Lile Dr
Little Rock, AR 72205-6217
Mailing address
10001 Lile Dr
Little Rock, AR 72205-6217
Phone (501) 227-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C98639 | Other | AR | RAILROAD MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100127000202 | AR | Practitioner - Internal Medicine | 2466594668 |
Reassigns benefits to 1 organization 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1851371314
I20100127000202
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Little Rock, AR
- NPI 1306816087
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1851371314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324425600000",
"number": "1720132368",
"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": "501-227-8000"
},
{
"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": "501-227-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL DIAGNOSTICS OF LR",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2011-12-21",
"status": "A",
"authorized_official_last_name": "CAIN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "501-227-8000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AR",
"license": "C4920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "C98639",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
- Medexpress Urgent Care Arkansas, P.a. (MedExpress Urgent Care - Little Rock, Chenal Pkwy)
- Medexpress Urgent Care Arkansas, PA (MedExpress Urgent Care - Little Rock, W Markham St)
- Medic Pharmacy Inc
- Medic Pharmacy Inc
- Medic Rental Inc
- Medical Emergency Trauma Associates, PLLC
- Medical Hearing Associates of Arkansas, LLC
- Medical Hearing Associates of Arkansas, LLC
- Medical Investments of Little Rock, LLC
- Medical Laboratories of Arkansas, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.