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ARLINGTON PRIME PEDIATRICS
NPI 1477000552
Clinic/Center in Arlington, TX

Active since September 06, 2016CLIA 45D0484715 · Waiver
3125 MATLOCK RD, SUITE 108, ARLINGTON, TX 76015(817) 468-3911 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arlington Prime Pediatrics NPPES

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

ARLINGTON PRIME PEDIATRICS (NPI 1477000552) is a healthcare organization registered as a clinic/center in Arlington, Texas and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Anna Nelson, President, as its authorized official.

NPPES Registry Identity

NPI1477000552
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameARLINGTON PRIME PEDIATRICS
Location Address3125 MATLOCK RD, SUITE 108Arlington, TX 76015-2920
Mailing Address3125 Matlock Rd, Suite 108Arlington, TX 76015-2920 · (817) 468-3911
Phone(817) 468-3911
Organization SubpartNo
Authorized OfficialAnna NelsonPresident · (817) 938-7227
Enumeration DateSeptember 6, 2016
✔ NPI 1477000552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in TX · K4753
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3125 MATLOCK RD, Arlington, TX 76015
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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 Waiver 45D0484715

Arlington Prime Pediatrics · Arlington, TX
Active · expires Aug 31, 2026
CLIA Number45D0484715
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAnna L. Nelson
Laboratory Phone(817) 468-3911
Laboratory LocationArlington Prime Pediatrics7410 S Cooper , Suite 120, Arlington, TX 76001
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA A NUGENT MD PA
Ophthalmology
3125 MATLOCK RD, STE 105
ARLINGTON, TX 76015
Tarrant County (817) 465-6664
DR. BICH LIEN THI CAO DDS
Dentist (General Practice)
3125 MATLOCK RD, SUITE 103
ARLINGTON, TX 76015
Tarrant County (817) 795-5690
KENNETH P. CARLSON, M.D.
Pediatrics
3125 MATLOCK RD, SUITE 108
ARLINGTON, TX 76015
Tarrant County (817) 468-3911
BARBARA A. NUGENT, MD, PA
Ophthalmology
3125 MATLOCK RD, SUITE 105
ARLINGTON, TX 76015
Tarrant County (817) 465-6664
BICH LIEN CAO DDS, PC
Dentist
3125 MATLOCK RD, SUITE 103
ARLINGTON, TX 76015
Tarrant County (817) 795-5690
KENNETH P. CARLSON
Pediatrics
3125 MATLOCK RD, SUITE 108
ARLINGTON, TX 76015
Tarrant County (817) 468-3911
ANNA NELSON M.D.
Pediatrics
3125 MATLOCK RD, SUITE 108
ARLINGTON, TX 76015
Tarrant County (817) 468-3911

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 Arlington Prime Pediatrics's NPI number?

The NPI number for Arlington Prime Pediatrics is 1477000552. It was assigned to this organization in the NPPES registry on September 6, 2016.

Where is Arlington Prime Pediatrics located?

Arlington Prime Pediatrics is located at 3125 Matlock Rd Suite 108, Arlington, TX 76015. The listed phone number is (817) 468-3911.

What is Arlington Prime Pediatrics's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Arlington Prime Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0484715) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arlington Prime Pediatrics was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.