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Organization
MED IMAGING OF ARKANSAS, PLLC
Active
Organization
MED IMAGING OF ARKANSAS, PLLC
Active
Other names
Med Imaging of Arkansas
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE J. ROAN (ADMINISTRATION MANAGER)
(501) 778-9729
Entity
Organization
Contact information
Practice address
6948 ALCOA RD, SUITE G, BENTON, AR 72015-9726
(501) 778-9729
(501) 776-2695
Mailing address
6948 ALCOA RD, SUITE G, BENTON, AR 72015-9726
(501) 778-9729
(501) 776-2695
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171546002
—
AR
01
—
1760660351
WINDSOR
AR
01
—
2919223
UHC
AR
01
—
4444567
CIGNA
AR
01
—
P00685566
RAILROAD MEDICARE
AR
Enumeration date
02/05/2008
Last updated
07/30/2009
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