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BIB LLC NPI 1366489247


NPI Information

NPI: 1366489247
Provider Name: BIB, LLC

Doing Business As: BAPTIST HEALTH IMAGING CENTER-SALINE COUNTY

Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

CLIA Number: 04D2027600

Address:
11001 EXECUTIVE CENTER DR
SUITE 200
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 812-7587
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BIB, LLC is a body imaging radiology in Little Rock, AR. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. BIB, LLC NPI is 1366489247. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Baptist Health Imaging Center-saline County.

The provider's business location address is:

11001 EXECUTIVE CENTER DR
SUITE 200
LITTLE ROCK, AR
ZIP 72211-316
Phone: (501) 812-7587
Fax: (501) 812-7588

The provider's authorized official is Mike Todd Heck .
The authorized official title is Chairman Of The Board and has the following contact phone number (501) 202-4000.

The CLIA number assigned to this NPI record is 04D2027600 - other - imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 6/4/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1161373002MEDICAIDARKANSAS
25F500MEDICARE PINARKANSAS
3P00342180MEDICARE PINARKANSAS
4=========00OTHERARKANSASQUALCHOICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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