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Organization

SILVER BULLET SCANNING SERVICE LLC

Active
Other names
Silver Bullet Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY L. HORTON RDMS/RVT/RDCS (OWNER)
(870) 715-2802
Entity
Organization

Contact information

Practice address
1501 W STEPHENSON AVE, HARRISON, AR 72601-3915
(870) 715-2802
(870) 741-6853
Mailing address
1501 W STEPHENSON AVE, HARRISON, AR 72601-3915
(870) 715-2802
(870) 741-6853

Taxonomy

Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
10541
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
148708741
AR. MEDICAID CROSSOVER #
AR
Enumeration date
08/10/2006
Last updated
11/09/2011
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