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ARBOR PEDIATRICS, PLLC
NPI 1518508894
Pediatrics in Southlake, TX

Active since October 08, 2019CLIA 45D2206557 · Waiver
1130 N KIMBALL AVE, SOUTHLAKE, TX 76092(817) 437-3392 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 13, 2020, Oct 8, 2019 (2 updates tracked since 2019).

About Arbor Pediatrics, Pllc NPPES

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

ARBOR PEDIATRICS, PLLC (NPI 1518508894) is a healthcare organization registered as a pediatrics in Southlake, Texas and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Melissa Asgaonkar, Manager, as its authorized official.

NPPES Registry Identity

NPI1518508894
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameARBOR PEDIATRICS, PLLC
Location Address1130 N KIMBALL AVESouthlake, TX 76092
Mailing AddressPo Box 92005Southlake, TX 76092-0101 · (817) 437-3392
Phone(817) 437-3392
Organization SubpartNo
Authorized OfficialMelissa AsgaonkarManager · (817) 865-3564
Enumeration DateOctober 8, 2019
Last NPPES UpdateAugust 13, 20202 updates tracked since enumeration
NPPES CertifiedAugust 13, 2020
✔ NPI 1518508894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1130 N KIMBALL AVE, Southlake, TX 76092
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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

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 45D2206557

Arbor Pediatrics · Southlake, TX
Active · expires Dec 20, 2026
CLIA Number45D2206557
Laboratory TypePhysician Office
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorMelissa D. Asgaonkar
Laboratory Phone(817) 685-3564
Laboratory LocationArbor Pediatrics1130 N Kimball Ave Suite 100, Southlake, TX 76092
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Arbor Pediatrics, PLLC's NPI number?

The NPI number for Arbor Pediatrics, PLLC is 1518508894. It was assigned to this organization in the NPPES registry on October 8, 2019.

Where is Arbor Pediatrics, PLLC located?

Arbor Pediatrics, PLLC is located at 1130 N Kimball Ave, Southlake, TX 76092. The listed phone number is (817) 437-3392.

What is Arbor Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Arbor Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2206557) is associated with this NPI, valid through December 20, 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 Arbor Pediatrics, PLLC was last updated on August 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.