Ar Rural Diagnostics PCR, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AR RURAL DIAGNOSTICS PCR, LLC

Practice address

19 Medical PLZ Ste 20
Mountain Home, AR 72653-2962

Phone

(870) 218-0683

Fax

(479) 763-0021

NPI assigned

Nov 10, 2022

Organization subpart

No

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

Authorized official

Name

Yvette Rivera

Title

Revenue Cycle Manager

Phone

(520) 382-1291

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1992413710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 E SPEEDWAY BLVD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101147",
            "telephone_number": "866-950-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MEDICAL PLZ STE 20",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532962",
            "telephone_number": "870-218-0683",
            "fax_number": "479-763-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AR RURAL DIAGNOSTICS PCR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "520-382-1291"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alternative Oppurtunities
• Brandi Dawn Anderson, APN
• Sara Anderson, MHPP
• Teresa K Apple
• Tosha Marie Applegate, APRN- CNP
• Arcare
• Arcare
• Arcare
• Nestor Arita, MD
• Lavonne Armstrong

• Clinical Medical Laboratory in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Clinical Medical Laboratory in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.