Healthcare Provider Details

I. General information

NPI: 1225975196
Provider Name (Legal Business Name): BRIGHT WHITE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7509 CANTRELL RD STE 205
LITTLE ROCK AR
72207-2500
US

IV. Provider business mailing address

7509 CANTRELL RD STE 205
LITTLE ROCK AR
72207-2500
US

V. Phone/Fax

Practice location:
  • Phone: 501-214-0660
  • Fax: 870-469-2065
Mailing address:
  • Phone: 501-214-0660
  • Fax: 870-469-2065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: LOHITH REDDY VANGURU
Title or Position: PRESIDENT
Credential:
Phone: 501-214-0660