Organization
MED IMAGING OF ARKANSAS, PLLC
Active
Other names
Med Imaging of Arkansas
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE J. ROAN (ADMINISTRATION MANAGER)
(501) 778-9729
Entity
Organization
Contact information
Practice address
6948 ALCOA RD, SUITE G, BENTON, AR 72015-9726
(501) 778-9729
(501) 776-2695
Mailing address
6948 ALCOA RD, SUITE G, BENTON, AR 72015-9726
(501) 778-9729
(501) 776-2695
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171546002
—
AR
01
—
1760660351
WINDSOR
AR
01
—
2919223
UHC
AR
01
—
4444567
CIGNA
AR
01
—
P00685566
RAILROAD MEDICARE
AR
Enumeration date
02/05/2008
Last updated
07/30/2009
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