ST.BERNARDS PET CENTER LLC NPI 1407819840

NPI Information

  • NPI: 1407819840
  • Provider Name: ST.BERNARDS PET CENTER LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 225 E JACKSON AVE
    JONESBORO, AR
    ZIP 72401
  • Phone: (877) 223-3988

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NPI Details

ST.BERNARDS PET CENTER LLC is a diagnostic radiology radiology in Jonesboro, AR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ST.BERNARDS PET CENTER LLC NPI is 1407819840. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

225 E JACKSON AVE
JONESBORO, AR
ZIP 72401-119
Phone: (877) 223-3988

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

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Fluciclovine f-18, diagnostic, 1 millicurie (HCPCS:A9588)

The enumeration date for this NPI number is 4/7/2006 and was last updated on 12/17/2013.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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
15C658MEDICARE PINARKANSAS
25C658OTHERARKANSASBCBS PROVIDER NUMBER
3146893002MEDICAIDARKANSAS

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: 11/21/2025

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