Wellformed AI

NPI 1396727418 · live from the CMS NPI Registry

Endoscopy Center Of Little Rock,LLC

Clinic/Center, Ambulatory Surgical in Little Rock, AR. National Provider Identifier 1396727418, active.

NPI record

NPI1396727418 Type 2 · organization
StatusActive
Primary specialtyClinic/Center, Ambulatory Surgical 261QA1903X
Practice location4200 N Rodney Parham Rd Ste 203, Little Rock, AR 72212
Practice phone501-228-4445
Mailing address11700 Cantrell Rd, Little Rock, AR 72223
EnumeratedNovember 15, 2005
Last updatedJuly 27, 2026
Authorized officialAlisa Petet-Mcelfresh, Managing Member
Other namesRic Lr LLC

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine, Gastroenterology207RG0100X—
Clinic/Center, Ambulatory Surgical primary261QA1903X— (AR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.