Organization
RIVER VALLEY MOBILE RADIOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK BALENTINE (OWNER)
(479) 857-4002
Entity
Organization
Contact information
Practice address
76 STREAM RD, RUSSELLVILLE, AR 72802-1824
(479) 857-4002
(479) 968-1363
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(479) 968-4273
(479) 968-1363
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152618710
—
AR
Enumeration date
12/26/2006
Last updated
06/15/2010
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