# RIVER VALLEY MOBILE RADIOLOGY, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306901806
- **Authorized official:** RICK BALENTINE (OWNER)
- **Authorized official phone:** (479) 857-4002

## Contact information

- **Practice address:** 76 STREAM RD, RUSSELLVILLE, AR 72802-1824
- **Practice address phone:** (479) 857-4002
- **Practice address fax:** (479) 968-1363
- **Mailing address:** PO BOX 9178, RUSSELLVILLE, AR 72811-9178
- **Mailing address phone:** (479) 968-4273
- **Mailing address fax:** (479) 968-1363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | AR | Yes |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 06/15/2010