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Organization
B & N MRI IMAGING, LLC
Active
Organization
B & N MRI IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY C HINES (DIRECTOR OF SOFTWARE SUPPORT/PATIEN)
(501) 202-4078
Entity
Organization
Contact information
Practice address
9601 INTERSTATE 630 EXIT 7, LITTLE ROCK, AR 72205-7202
(501) 202-1838
Mailing address
904 AUTUMN RD, 500, LITTLE ROCK, AR 72211-3702
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
NULL
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156186002
—
AR
Enumeration date
08/05/2006
Last updated
05/23/2008
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