DELTA DIAGNOSTIC & THERAPEUTIC RAD NPI 1548206543

NPI Information

NPI: 1548206543
Provider Name: DELTA DIAGNOSTIC & THERAPEUTIC RAD
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
316 W 6TH AVE
PINE BLUFF, AR
ZIP 71601
Phone: (870) 850-6053
Get Directions

DELTA DIAGNOSTIC & THERAPEUTIC RAD is a diagnostic radiology radiology in Pine Bluff, AR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DELTA DIAGNOSTIC & THERAPEUTIC RAD NPI is 1548206543. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

316 W 6TH AVE
PINE BLUFF, AR
ZIP 71601-217
Phone: (870) 850-6053
Fax: (870) 850-6482

The provider's authorized official is Tanya M Simpson .
The authorized official title is President and has the following contact phone number (870) 850-6053.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 5/13/2010.

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
1	2085R0202X	Radiology	Diagnostic Radiology	R2333	ARKANSAS	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	770218402	OTHER	ARKANSAS	BREAST CARE
2	DC3930	OTHER	ARKANSAS	PALMETTO GBA GROUP
3	155956002	MEDICAID	ARKANSAS
4	5C647	MEDICARE PIN	ARKANSAS
5	5C647	OTHER	ARKANSAS	AR BLUE CROSS BLUE SHIELD

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: 11/14/2023

NPI Synchronization or Removal

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