OrganizationActive
Dermlogic, P.L.L.C, PA
NPI 1780946517 · Clinical Medical Laboratory · North Little Rock, AR
Provider details
- NPI number
- 1780946517
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Kim Hiatt, Manager(501) 551-6408
- License
- E3291 (AR)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9780 Maumelle Blvd
North Little Rock, AR 72113-6737
Phone: (501) 753-9000
Fax: (501) 753-9004
Street-level locationGet directions
Mailing address
9780 Maumelle Blvd
North Little Rock, AR 72113-6737
Registry dates
- Enumerated
- 2012-06-07
- Last updated
- 2012-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.