Organization
ARKANSAS DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARION YORK (OFFICE ADMINISTRATOR)
(501) 227-7688
Entity
Organization
Contact information
Practice address
8907 KANIS RD, SUITE 403, LITTLE ROCK, AR 72205-6449
(501) 217-9382
(501) 225-2930
Mailing address
8908 KANIS RD, P.O. BOX 55130, LITTLE ROCK, AR 72205-6414
(501) 227-7688
(501) 225-2930
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2557
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010009296
RAILROAD DR WMS
AR
01
—
100013053
RAILROAD DR ZILLER
AR
05
—
117730002
—
AR
01
—
CC6622
RAILORAD MEDICARE
AR
Enumeration date
06/14/2006
Last updated
03/15/2012
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