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PEDIATRIC ASSOCIATES OF W MPHS
NPI 1801042924
Pediatrics in Marion, AR

Active since August 08, 2008CLIA 04D0965138 · Certificate of Compliance
132 BLOCK ST, MARION, AR 72364(870) 739-1190 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pediatric Associates Of W Mphs NPPES

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

PEDIATRIC ASSOCIATES OF W MPHS (NPI 1801042924) is a healthcare organization registered as a pediatrics in Marion, Arkansas and active in the NPI registry since August 2008. The organization holds a CLIA Certificate of Compliance certificate valid through June 24, 2028 and lists Linda Wamble, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1801042924
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES OF W MPHS
Location Address132 BLOCK STMarion, AR 72364-1956
Mailing Address108 W Tyler AveWest Memphis, AR 72301-4221
Phone(870) 739-1190
Organization SubpartNo
Authorized OfficialLinda WambleOffice Manager · (870) 732-1191
Enumeration DateAugust 8, 2008
Last NPPES UpdateAugust 13, 2008
✔ NPI 1801042924 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.
132 BLOCK ST, Marion, AR 72364
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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 Compliance 04D0965138

Pediatric Associates Of West Memphis-Marion · Marion, AR
Active · expires Jun 24, 2028
CLIA Number04D0965138
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorDr. Johanna Mallare
Laboratory Phone(870) 739-1190
Laboratory LocationPediatric Associates Of West Memphis-Marion200 Pine Street, Marion, AR 72364
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

MRS. SUZANNE BURNS DEGAN PHARM D
Pharmacist (Nuclear)
132 BLOCK ST
MARION, AR 72364
Crittenden County (870) 739-4400

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 Pediatric Associates Of W Mphs's NPI number?

The NPI number for Pediatric Associates Of W Mphs is 1801042924. It was assigned to this organization in the NPPES registry on August 8, 2008.

Where is Pediatric Associates Of W Mphs located?

Pediatric Associates Of W Mphs is located at 132 Block St, Marion, AR 72364. The listed phone number is (870) 739-1190.

What is Pediatric Associates Of W Mphs's specialty?

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

Does Pediatric Associates Of W Mphs hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D0965138) is associated with this NPI, valid through June 24, 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 Pediatric Associates Of W Mphs was last updated on August 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.