DELTA WAVE LLC – NPI #1376779843
Physiological Laboratory

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

Health Care Provider Taxonomy Code for Physiological Laboratory

DELTA WAVE LLC is a physiological laboratory located in LITTLE ROCK, AR. NPPES has assigned the NPI number 1376779843 to DELTA WAVE LLC on June 10, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.

The NPI profile was previously updated about 16 years ago on Dec 15, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DELTA WAVE LLC below.

NPI Profile for
DELTA WAVE LLC

NPI Number
1376779843
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DELTA WAVE LLC
Primary location
1 INNWOOD CIR
SUITE 102
LITTLE ROCK, AR 72211-2447
Phone: (501) 217-8200 Fax: (501) 217-8201
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICHARD EVANS
PRESIDENT- DELTA WAVE, LLC
Phone: (877) 840-1840
Updated
Identifiers

Identifiers for DELTA WAVE LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPIAR1053424523
OTHERNPIAR1649413949
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
293D00000X
- Physiological Laboratory (Primary)		 AR BL00033811

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.