VALLEY DIAGNOSTICS INC NPI 1376527390

NPI Information

  • NPI: 1376527390
  • Provider Name: VALLEY DIAGNOSTICS INC
  • Classification: Clinic/Center - 261QM1200X
  • Specialization: Magnetic Resonance Imaging (MRI)
  • Entity Type: Organization
  • Address: 2504 WEST MAIN
    SUITE H
    RUSSELLVILLE, AR
    ZIP 72801
  • Phone: (479) 967-6492

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NPI Details

VALLEY DIAGNOSTICS INC is a magnetic resonance imaging (mri) clinic center in Russellville, AR. VALLEY DIAGNOSTICS INC NPI is 1376527390. The provider is registered as an organization entity type.

The provider's business location address is:

2504 WEST MAIN
SUITE H
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 967-6492
Fax: (479) 967-6509

The provider's authorized official is Monti L Kist .
The authorized official title is President Owner and has the following contact phone number (479) 967-6492.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 7/29/2010.

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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)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
1146594002MEDICAIDARKANSAS
25C690MEDICARE PIN

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: 3/30/2025

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