Organization
CLEARVIEW DIGITAL IMAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY D SAMS (MEMBER)
(501) 214-1788
Entity
Organization
Contact information
Practice address
16502 LAWSON RD STE A, LITTLE ROCK, AR 72210-2020
(501) 214-1788
Mailing address
415 ROGERS AVE, FORT SMITH, AR 72901-1903
(479) 783-4672
(479) 783-2217
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231539710
—
AR
Enumeration date
08/22/2017
Last updated
06/08/2021
Update your record
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