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Organization

ARKANSAS MEDICAL IMAGING JV LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER L JACKSON (SR DIRECTOR PROVIDER ENROLLMENT)
(877) 892-9815
Entity
Organization

Contact information

Practice address
361 E MILLSAP RD, FAYETTEVILLE, AR 72703-6289
(479) 442-7740
(479) 442-9622
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 778-8000

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
04/30/2014
Last updated
02/14/2022
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