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ADVANCED SPINE AND PAIN CENTERS INC
NPI 1083069587
Clinic/Center - Pain in Conway, AR

Active since May 03, 2016CLIA 04D2084810 · Accreditation
410 DENISON ST, CONWAY, AR 72034(501) 219-1114 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Advanced Spine And Pain Centers Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED SPINE AND PAIN CENTERS INC (NPI 1083069587) is a healthcare organization registered as a pain in Conway, Arkansas and active in the NPI registry since May 2016. The organization holds an CLIA Accreditation certificate valid through January 12, 2028 and lists Jonathan Goodwin, Manager, as its authorized official.

NPPES Registry Identity

NPI1083069587
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameADVANCED SPINE AND PAIN CENTERS INC
Location Address410 DENISON STConway, AR 72034-6128
Mailing Address410 Denison StConway, AR 72034-6128 · (501) 764-1437
Phone(501) 219-1114
Organization SubpartNo
Authorized OfficialJonathan GoodwinManager · (501) 219-1114
Enumeration DateMay 3, 2016
✔ NPI 1083069587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
410 DENISON ST, Conway, AR 72034
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 04D2084810

Advance Spine And Pain Center · Little Rock, AR
Active · expires Jan 12, 2028
CLIA Number04D2084810
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorJoshua Bornhorst
Laboratory Phone(501) 219-1114
Laboratory LocationAdvance Spine And Pain Center11220 Executive Center Drive, Suite 200, Little Rock, AR 72211
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Spine And Pain Centers Inc's NPI number?

The NPI number for Advanced Spine And Pain Centers Inc is 1083069587. It was assigned to this organization in the NPPES registry on May 3, 2016.

Where is Advanced Spine And Pain Centers Inc located?

Advanced Spine And Pain Centers Inc is located at 410 Denison St, Conway, AR 72034. The listed phone number is (501) 219-1114.

What is Advanced Spine And Pain Centers Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Does Advanced Spine And Pain Centers Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 04D2084810) is associated with this NPI, valid through January 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Spine And Pain Centers Inc was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.