Organization
VIRTUAL RADIOLOGY ASSOCIATES, PLL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE R BIGONGIARI M.D. (OWNER)
(870) 845-5718
Entity
Organization
Contact information
Practice address
2001 S MAIN ST, HOPE, AR 71801-8124
(870) 845-5718
(870) 845-3554
Mailing address
PO BOX 611, NASHVILLE, AR 71852-0611
(870) 845-5718
(870) 845-3554
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MC2394
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157519002
—
AR
01
—
770063502
BREASTCARE
AR
01
—
DD5436
RAILROAD MEDICARE
—
01
—
MC2394
STATE MEDICAL BOARD
AR
Enumeration date
04/20/2006
Last updated
03/30/2011
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