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Organization
BIB, LLC
Active
Organization
BIB, LLC
Active
Other names
Baptist Health Imaging Center-Saline County
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE TODD HECK (CHAIRMAN OF THE BOARD)
(501) 202-4000
Entity
Organization
Contact information
Practice address
11001 EXECUTIVE CENTER DR, SUITE 200, LITTLE ROCK, AR 72211-4316
(501) 812-7587
(501) 812-7588
Mailing address
829 W CARPENTER ST, BENTON, AR 72015-3349
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
—
161373002
—
AR
Enumeration date
06/01/2006
Last updated
06/04/2008
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