Organization
DELTA DIAGNOSTIC & THERAPEUTIC RAD
Active
Organization
DELTA DIAGNOSTIC & THERAPEUTIC RAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA M SIMPSON (PRESIDENT)
(870) 850-6053
Entity
Organization
Contact information
Practice address
316 W 6TH AVE, PINE BLUFF, AR 71601-4217
(870) 850-6053
(870) 850-6482
Mailing address
316 W 6TH AVE, PINE BLUFF, AR 71601-4217
(870) 850-6053
(870) 850-6482
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R2333
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155956002
—
AR
01
—
5C647
AR BLUE CROSS BLUE SHIELD
AR
01
—
770218402
BREAST CARE
AR
01
—
DC3930
PALMETTO GBA GROUP
AR
Enumeration date
06/20/2006
Last updated
05/13/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up