Organization Active NPI

Natural State Genomics LLC

  • Clinical Medical Laboratory
  • Little Rock, AR
National Provider Identifier
1861032633
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NATURAL STATE GENOMICS LLC
Practice address
10915 N Rodney Parham Rd Ste C
Little Rock, AR 72212-4202
Phone
(501) 539-1094
Fax
(800) 948-3816
NPI assigned
Jan 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Casey Honeycutt
Title
President
Phone
(501) 350-6597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

10915 N Rodney Parham Rd Ste C
Little Rock, AR 72212-4202

Mailing address

PO Box 26110
Little Rock, AR 72221-6110
Phone (501) 350-6597

Other practice location 1

1919 W 12th St
Little Rock, AR 72202-4551
Phone (501) 539-1094

National Provider Directory

National Provider Directory

Locations

10915 N Rodney Parham Rd
Ste C
Little Rock, AR 72212
Phone (501) 352-8296

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1861032633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722216110",
            "telephone_number": "501-350-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 N RODNEY PARHAM RD STE C",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124202",
            "telephone_number": "501-539-1094",
            "fax_number": "800-948-3816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 W 12th St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722024551",
            "country_code": "US",
            "telephone_number": "501-539-1094",
            "fax_number": "800-948-3816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATURAL STATE GENOMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "HONEYCUTT",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-350-6597"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.