OUTPATIENT RADIOLOGY CLINIC PA NPI 1265651459

NPI Information

NPI: 1265651459
Provider Name: OUTPATIENT RADIOLOGY CLINIC PA
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
200 SOUTH ROHDES
STE B
WEST MEMPHIS, AR
ZIP 72301
Phone: (870) 735-5555
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OUTPATIENT RADIOLOGY CLINIC PA is a diagnostic radiology radiology in West Memphis, AR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. OUTPATIENT RADIOLOGY CLINIC PA NPI is 1265651459. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 SOUTH ROHDES
STE B
WEST MEMPHIS, AR
ZIP 72301
Phone: (870) 735-5555
Fax: (870) 735-5660

The provider's authorized official is Edgar Scott Ferguson .
The authorized official title is Physician Radiologist and has the following contact phone number (870) 735-5555.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 8/22/2020.

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	MD14662	TENNESSEE	No
2	2085R0202X	Radiology	Diagnostic Radiology	C6304	ARKANSAS	Yes

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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