CENTRAL AR PET
NPI 1154382307
Technician, Other in N Little Rock, AR

NPI Status: Active since March 29, 2006

Contact Information

3500 SPRINGHILL DR
STE 100
N LITTLE ROCK, AR
ZIP 72117
Phone: (501) 687-1154
Fax: (501) 687-1289

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  • Organization
  • Technician, Other
  • CLIA Number: 04D0920661
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-19-2026

About CENTRAL AR PET

This page provides the complete NPI Profile along with additional information for Central Ar Pet, a provider established in N Little Rock, Arkansas operating as a Technician, Other. The healthcare provider is registered in the NPI registry with number 1154382307 assigned on March 2006. The practitioner's primary taxonomy code is 247200000X with license number ARK-991-AP-BP-08-12 (AR). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Central Ar Pet. The authorized official of this NPI record is Mr. Randy Wickersham (Vp Of Operations)

NPI
1154382307
Provider Legal Name
NORTH LITTLE ROCK PET ASSOCIATES, LLC
Other Organization Name
CENTRAL AR PET
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3500 SPRINGHILL DR STE 100 N LITTLE ROCK, AR 72117
Location Phone
(501) 687-1154
Location Fax
(501) 687-1289
Mailing Address
PO BOX 15603 LITTLE ROCK, AR 72231
Mailing Phone
(501) 687-1154
Mailing Fax
(501) 687-1289
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician, Other

Taxonomy Code
247200000X
Type
Technologists, Technicians & Other Technical Service Providers
License No.
ARK-991-AP-BP-08-12
License State
AR
Taxonomy Description
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RANDY WICKERSHAM

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(404) 418-2200

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
04D0920661
Facility Type
Physician Office
Certificate Effective Date
November 20, 2024
Certificate Expiration Date
November 19, 2026
Laboratory Director
LATOYA MEREDITH
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Central Ar Pet on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for CENTRAL AR PET

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154382307
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2110468430
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 6 + 8 + 4 + 3 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1154382307 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124016662 STEVEN LYNN CATHEY MD
Individual
Neurological Surgery3500 SPRINGHILL DR STE 201
NORTH LITTLE ROCK, AR 72117
(501) 771-2000
1730179268 JULIA M MCCOY MD
Individual
Psychiatry & Neurology (Neurology)3500 SPRINGHILL DR
N LITTLE ROCK, AR 72117
(501) 945-4710
1952574279STEVEN L CATHEY MD PA
Organization
Neurological Surgery3500 SPRINGHILL DR SUITE 201
NORTH LITTLE ROCK, AR 72117
(501) 771-2000
1477704120KATHRYN T. CHENAULT, M.D, P.A.
Organization
Clinic/Center (Health Service)3500 SPRINGHILL DR SUITE 200
NORTH LITTLE ROCK, AR 72117
(501) 945-4710
1760453120DR. STAN L. KELLAR M.D.
Individual
Specialist3500 SPRINGHILL DR SUITE 200 A
NORTH LITTLE ROCK, AR 72117
(501) 945-0392
1952549602DR. DOMINIKA MARIA SZWEDO M.D.
Individual
Specialist3500 SPRINGHILL DR SUITE 200 A
NORTH LITTLE ROCK, AR 72117
(501) 945-0392
1700873080IMAGING SOLUTIONS OF ARKANSAS, LLC
Organization
Radiology (Diagnostic Radiology)3500 SPRINGHILL DR #100
N LITTLE ROCK, AR 72117
(501) 978-3112
1083925994DR. JASMINE AMENA PRIME M.D.
Individual
Family Medicine (Geriatric Medicine)3500 SPRINGHILL DR
NORTH LITTLE ROCK, AR 72117
(501) 441-8000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154382307, enumerated in the NPI registry as an "organization" on March 29, 2006

The provider is located at 3500 Springhill Dr Ste 100 N Little Rock, Ar 72117 and the phone number is (501) 687-1154

This medical organization specializes in Technician, Other with taxonomy code 247200000X

The provider's CLIA number is 04D0920661 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on March 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.