Organization
INFINITE GENOMICS LLC
Active
Other names
InGen Labs
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT STAGGS (CEO)
(501) 798-7100
Entity
Organization
Contact information
Practice address
4850 NORTHSHORE LN, NORTH LITTLE ROCK, AR 72118-5329
(501) 798-7100
(501) 798-7101
Mailing address
4850 NORTHSHORE LN, NORTH LITTLE ROCK, AR 72118-5329
(501) 798-7100
(501) 798-7101
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477871
—
OH
05
—
1376206425
—
WI
05
—
213897200
—
WY
05
—
2276860
—
WA
05
—
290638709
—
AR
05
—
30004802830001
—
KS
05
—
322000
—
AL
05
—
700109508
—
MO
05
—
7100983310
—
KY
05
—
89405889
—
NM
05
—
9000203807
—
CO
Enumeration date
10/15/2021
Last updated
09/02/2025
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