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Organization

PRIME MEDICAL IMAGING, A DIVISION OF RADIOLOGISTS, P.A.

Active
Parent organization
RADIOLOGISTS PA
Other names
Prime Medical Imaging, Radiologists, P.A.
Organization subpart
Yes

Provider details

NPI number
Legal business name
RADIOLOGISTS PA
Authorized official
MR. GREGG S DANIELS (BUSINESS MANAGER)
(479) 452-9416
Entity
Organization

Contact information

Practice address
320 S 9TH ST, VAN BUREN, AR 72956-5826
(479) 474-1616
(479) 471-5637
Mailing address
320 SOUTH NINTH ST., VAN BUREN, AR 72956
(479) 474-1616
(479) 471-5637

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100846780A
OK
05
146682002
AR
Enumeration date
08/02/2006
Last updated
04/30/2019
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