Healthcare Provider Details

I. General information

NPI: 1740179282
Provider Name (Legal Business Name): INFINITE GENOMICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4850 NORTHSHORE LN
NORTH LITTLE ROCK AR
72118-5329
US

IV. Provider business mailing address

4850 NORTHSHORE LN
NORTH LITTLE ROCK AR
72118-5329
US

V. Phone/Fax

Practice location:
  • Phone: 501-798-7100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HILDA DUPWE
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 501-798-7100