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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ENDOSCOPY CENTER OF LITTLE ROCK,LLC
NPI 1396727418
Clinic/Center - Ambulatory Surgical in Little Rock, AR

Active since November 15, 2005CLIA 04D1071448 · Waiver
4200 N RODNEY PARHAM RD STE 203, LITTLE ROCK, AR 72212(501) 228-4445(501) 228-0110 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Endoscopy Center Of Little Rock,llc NPPES

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

ENDOSCOPY CENTER OF LITTLE ROCK,LLC (NPI 1396727418), doing business as Ric Lr Llc, is a healthcare organization registered as an ambulatory surgical in Little Rock, Arkansas and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through July 25, 2027 and lists Alisa Petet-mcelfresh, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1396727418
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameENDOSCOPY CENTER OF LITTLE ROCK,LLC
Location Address4200 N RODNEY PARHAM RD STE 203Little Rock, AR 72212-2460
Mailing Address11700 Cantrell RdLittle Rock, AR 72223-1705 · (501) 228-4445 · Fax (501) 228-0110
Phone(501) 228-4445
Fax(501) 228-0110
Organization SubpartNo
Authorized OfficialAlisa Petet-mcelfreshManaging Member · (501) 664-6980
Enumeration DateNovember 15, 2005
Last NPPES UpdateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
✔ NPI 1396727418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
4200 N RODNEY PARHAM RD STE 203, Little Rock, AR 72212
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Other Names 1

Former Legal Business NameRic Lr Llc

Other Identifiers 1

Medicaid154933128AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Waiver 04D1071448

Endoscopy Center Of Little Rock LLC · Little Rock, AR
Active · expires Jul 25, 2027
CLIA Number04D1071448
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorMichael B. Johnson
Laboratory Phone(501) 228-4445
Laboratory LocationEndoscopy Center Of Little Rock LLC4200 Rodney Parham Suite 203, Little Rock, AR 72212
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
439 services435 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
300 services292 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
158 services158 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
103 services102 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
61 services59 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
49 services48 patients

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 Endoscopy Center Of Little Rock,llc's NPI number?

The NPI number for Endoscopy Center Of Little Rock,llc is 1396727418. It was assigned to this organization in the NPPES registry on November 15, 2005. The provider was formerly known as Ric Lr LLC.

Where is Endoscopy Center Of Little Rock,llc located?

Endoscopy Center Of Little Rock,llc is located at 4200 N Rodney Parham Rd Ste 203, Little Rock, AR 72212. The listed phone number is (501) 228-4445.

What is Endoscopy Center Of Little Rock,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Endoscopy Center Of Little Rock,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1071448) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Endoscopy Center Of Little Rock,llc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Endoscopy Center Of Little Rock,llc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Endoscopy Center Of Little Rock,llc was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.