Organization
ORTHOARKANSAS, PA
Active
Other names
Arkansas Specialty MRI Center, Arkansas Specialty MRI Center Midtown
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI FOX (DIRECTOR OF OPERATIONS)
(501) 500-3500
Entity
Organization
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204
(501) 978-2192
(501) 978-2194
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204
(501) 978-2192
(501) 978-2194
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
MC1964
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139653002
—
AR
01
—
5C287
MEDICARE
AR
Enumeration date
04/27/2006
Last updated
06/24/2021
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