FAYETTEVILLE MRI LLC NPI 1578526919

NPI Information

NPI: 1578526919
Provider Name: FAYETTEVILLE MRI LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3873 N PARKVIEW DR
NO.6
FAYETTEVILLE, AR
ZIP 72703
Phone: (800) 654-0378
Get Directions

FAYETTEVILLE MRI LLC is a diagnostic radiology radiology in Fayetteville, AR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. FAYETTEVILLE MRI LLC NPI is 1578526919. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3873 N PARKVIEW DR
NO.6
FAYETTEVILLE, AR
ZIP 72703-286
Phone: (800) 654-0378
Fax: (479) 968-4331

The provider's authorized official is Kerri Couch .
The authorized official title is Manager and has the following contact phone number (479) 968-7930.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 2/13/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5C735	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS	MEDICARE PROVIDER NUMBER
2	149120002	MEDICAID	ARKANSAS
3	5C735	OTHER	ARKANSAS	BCBS PROVIDER NUMBER

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

NPI Synchronization or Removal

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