Active NPI
Infinite Genomics LLC
- Anatomic Pathology Physician
- North Little Rock, AR
National Provider Identifier
1962225896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- Legal business name
- INFINITE GENOMICS LLC
- Practice address
- 4850 Northshore LN
North Little Rock, AR 72118-5329 - Phone
- (501) 798-7100
- Fax
- (501) 798-7101
- NPI assigned
- Nov 7, 2024
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Little Rock, AR
- NPI 1164508883
-
- Anatomic Pathology & Clinical Pathology Physician
- North Little Rock, AR
- NPI 1154617843
-
- Anatomic Pathology & Clinical Pathology Physician
- North Little Rock, AR
- NPI 1770621658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741564800000",
"number": "1962225896",
"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": "2024-11-07",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"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": "207ZP0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.