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SAMA HEALTHCARE SERVICES IDTF
NPI 1508802034
Clinic/Center - Radiology in El Dorado, AR

Active since June 22, 2006CLIA 04D0963063 · Accreditation
600 S TIMBERLANE DR, EL DORADO, AR 71730(870) 862-2400(870) 862-1891 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sama Healthcare Services Idtf NPPES

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

SAMA HEALTHCARE SERVICES IDTF (NPI 1508802034) is a healthcare organization registered as a radiology in El Dorado, Arkansas and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through January 29, 2027 and lists Jerry E Detwiler, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508802034
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameSOUTH ARKANSAS MEDICAL ASSOCIATES IDTF
Location Address600 S TIMBERLANE DREl Dorado, AR 71730-6990
Mailing Address600 S Timberlane DrEl Dorado, AR 71730-6990 · (870) 862-2400 · Fax (870) 862-1891
Phone(870) 862-2400
Fax(870) 862-1891
Organization SubpartNo
Authorized OfficialJerry E DetwilerAdministrator · (870) 864-8120
Enumeration DateJune 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508802034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
600 S TIMBERLANE DR, El Dorado, AR 71730
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Other Names 1

Doing Business AsSama Healthcare Services Idtf

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 04D0963063

South Arkansas Medical Assoc, PLLC · El Dorado, AR
Active · expires Jan 29, 2027
CLIA Number04D0963063
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorMs. Karen R. Ward
Laboratory Phone(870) 862-2400
Laboratory LocationSouth Arkansas Medical Assoc, PLLC600 S Timberlane, El Dorado, AR 71730
CLIA data matches this NPI record on: Address Name 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.

Other Providers at the Same Location NPPES 20

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

REBECCA JAN PORTER APRN
Nurse Practitioner (Family)
600 S TIMBERLANE DR
EL DORADO, AR 71730
Union County (870) 862-2400
SAMA INDEPENDENT DIAGNOSTIC TESTING FACILITY
Clinic/Center (Radiology)
600 S TIMBERLANE DR
EL DORADO, AR 71730
Union County (870) 862-2400
SAMA REFERENCE LAB
Clinical Medical Laboratory
600 S TIMBERLANE DR
EL DORADO, AR 71730
Union County (870) 862-2400
MARCIA P FORD APN CDE
Nurse Practitioner (Adult Health)
600 S TIMBERLANE DR
EL DORADO, AR 71730
Union County (870) 862-2400
MRS. LAUREN ROBERTS APRN
Nurse Practitioner (Primary Care)
600 S TIMBERLANE DR
EL DORADO, AR 71730
Union County (870) 862-2400
TAYLOR NICOLE PEPPER
Nurse Practitioner (Women's Health)
600 S TIMBERLANE DR
EL DORADO, AR 71730
Union County (870) 862-2400
RODNEY M. DIXON M.D.
Family Medicine
600 S TIMBERLANE DR
EL DORADO, AR 71730
Union County (870) 862-2400
DR. CHRISTINA LAUREN COOPER M.D.
Family Medicine
600 S TIMBERLANE DR
EL DORADO, AR 71730
Union County (870) 862-2400

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 South Arkansas Medical Associates Idtf's NPI number?

The NPI number for South Arkansas Medical Associates Idtf is 1508802034. It was assigned to this organization in the NPPES registry on June 22, 2006. The provider is doing business as Sama Healthcare Services Idtf.

Where is South Arkansas Medical Associates Idtf located?

South Arkansas Medical Associates Idtf is located at 600 S Timberlane Dr, El Dorado, AR 71730. The listed phone number is (870) 862-2400.

What is South Arkansas Medical Associates Idtf's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Does South Arkansas Medical Associates Idtf hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 04D0963063) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Arkansas Medical Associates Idtf was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.