SPINE INNOVATIONS, LLC


Address: 11912 Kanis Rd Ste F8, Little Rock, AR 72211-3771
Phone: 5012551580

SPINE INNOVATIONS, LLC (NPI# 1639339021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639339021
Entity Type Organization
Organization Name SPINE INNOVATIONS, LLC
Practice Address 11912 Kanis Rd Ste F8
Little Rock
AR 72211-3771
Practice Telephone 5012551580
Mailing Telephone 5012551580
Enumeration Date 2008-06-10
Last Update Date 2008-06-10
Authorized Official Name MR. ROBERT D MAZZARELLA (PRESIDENT)
Authorized Official Telephone 5012551580
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory Laboratories

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1366973935 Spine Innovations, LLC Specialist 29301 N Dixie Ranch Rd, Lacombe, LA 70445-5403 2017-03-24

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names SPINE INNOVATIONS, LLC 19255 Sw 65th Ave Ste 200, Tualatin, OR 97062

Office Location

Street Address 11912 KANIS RD STE F8
City LITTLE ROCK
State AR
Zip Code 72211-3771

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1962040568 Erica N Taylor Nurse Practitioner 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 2019-12-13
1568932119 Katie Jones Nurse Practitioner 1children's Way, Little Rock, AR 72211 2018-11-27
1356828651 Kayleigh King Dietitian, Registered 4 Shackleford Plz Ste 209, Little Rock, AR 72211 2018-07-19
1699283838 Kara Elizabeth Simmons Physician Assistant 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 2018-01-22
1194241463 Wendy Newsam Pllc Counselor 1 Innwood Circle, Suite 107, Little Rock, AR 72211 2017-08-18
1861915159 Sarah Renee Beall Counselor 10800 Financial Centre #290, Little Rock, AR 72211 2017-07-19
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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275787483 Mobile Health Services, LLC Physiological Laboratory 13311 Lawson Rd, Suite B, Little Rock, AR 72210-2601 2008-11-14
1255598538 Rm Medical Physiological Laboratory 11912 Kanis Rd, Ste F-8, Little Rock, AR 72211-3733 2008-05-22
1538151303 Premier Mri of Little Rock, Inc. Physiological Laboratory 906 Broadway St, Little Rock, AR 72201-4126 2005-08-18
1477913267 Braincare, LLC Physiological Laboratory 400 W Capitol Ave, Ste 1741, Little Rock, AR 72201-3436 2016-03-07
1376779843 Delta Wave LLC Physiological Laboratory 1 Innwood Cir, Suite 102, Little Rock, AR 72211-2447 2009-06-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861857658 Hot Springs Imaging Center LLC Physiological Laboratory 120 Adcock Rd., Suite B, Hot Springs, AR 71913-7958 2015-12-21
1538202221 Pulmonary and Sleep Diagnostics LLC Physiological Laboratory 607 North Town, Mountain Home, AR 72653 2007-02-14
1467796086 Somnodiagnostics Incorporated Physiological Laboratory 106 Ridgeway St, Suites A and B, Hot Springs, AR 71901-7100 2012-11-20
1952346041 Crittenden Cares, Inc Physiological Laboratory 228 W Tyler Ave, Suite 108, West Memphis, AR 72301-4223 2006-06-20

Competitor

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City LITTLE ROCK
Zip Code 72211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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