Infinite Genomics

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INFINITE GENOMICS

Practice address

4850 Northshore LN
North Little Rock, AR 72118-5329

Phone

(501) 798-7100

NPI assigned

Jun 30, 2025

Organization subpart

No

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

Authorized official

Name

Hilda Dupwe

Title

Authorized Official

Phone

(501) 798-7100

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, LA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Infinite Genomics LLC

  • Clinical Medical Laboratory
  • North Little Rock, AR
  • NPI 1376206425

  7719377712

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Infinite Genomics LLC

  • Anatomic Pathology Physician
  • North Little Rock, AR
  • NPI 1962225896

  O20250724000525

  Same enrollment

Tax ID family

Infinite Genomics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Infinite Genomics LLC

  • Clinical Medical Laboratory
  • North Little Rock, AR
  • NPI 1376206425
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore Chang, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • North Little Rock, AR
  • NPI 1154617843
  Medicare reassignment NPD
• Nancy Kang Davis, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • North Little Rock, AR
  • NPI 1770621658

  LA

  Medicare reassignment NPD
• Brent Christopher Staggs, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Little Rock, AR
  • NPI 1164508883
  Medicare reassignment NPD

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1740179282",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5416 Highway 28 E",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "LA",
            "postal_code": "713604756",
            "country_code": "US",
            "telephone_number": "501-798-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INFINITE GENOMICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "DUPWE",
        "authorized_official_first_name": "HILDA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "501-798-7100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle J Ibsen, M.D.
• Id of Central Arkansas, PLLC
• Iiii Optical - Dog Town LLC
• Incura of Little Rock PA
• Infant Formulas Inc.
• Infinite Genomics LLC
• Infinite Genomics LLC
• George Richard Ingalls, LCSW
• Leah Ingraham, LCSW
• Robert Quinn Ingraham II, M.D.

• Internal Medicine Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.