Organization · Type 2 NPI

Chi St. Vincent Little Rock Diagnostic Clinic Laboratory

Clinical Medical Laboratory · Little Rock, AR

NPI number 1295600179 Active

Practice location

10001 Lile Dr
Little Rock, AR 72205-6217

Fax (501) 223-4501

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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NPI record

NPI: 1295600179
Entity type: Organization (Type 2)
Issued: Oct 9, 2025
Last updated: Oct 9, 2025
Status: Active
Subpart: Yes of St. Vincent Medical Group

Other names

Chi St. Vincent Little Rock Diagnostic Clinic Laboratory · doing business as

Authorized official

Chad Aduddell
Market President
(501) 552-3906

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295600179

Chi St. Vincent Little Rock Diagnostic Clinic Laboratory's National Provider Identifier is 1295600179, issued on Oct 9, 2025. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Little Rock, AR. The record was last updated on Oct 9, 2025.