Spine Innovations, LLC
NPI 1639339021ActiveOrganization· Physiological Laboratory· Little Rock, AR
Physiological Laboratory in Little Rock, Arkansas, registered in NPPES in June 2008. The authorized official on file is Robert D. Mazzarella, President.
Overview
| NPI | 1639339021 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2008 |
| Last updated in NPPES | Jun 10, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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