RADIOLOGISTS PA NPI 1780651117

NPI Information

  • NPI: 1780651117
  • Provider Name: RADIOLOGISTS PA
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: PRIME MEDICAL IMAGING
  • Address: 5707 JENNY LIND RD
    FORT SMITH, AR
    ZIP 72908
  • Phone: (479) 452-9416

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NPI Details

RADIOLOGISTS PA is a diagnostic radiology radiology in Fort Smith, AR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RADIOLOGISTS PA NPI is 1780651117. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Prime Medical Imaging.

The provider's business location address is:

5707 JENNY LIND RD
FORT SMITH, AR
ZIP 72908-435
Phone: (479) 452-9416
Fax: (479) 484-0827

The provider's authorized official is Gregg S. Daniels .
The authorized official title is Administrator and has the following contact phone number (479) 452-9416.

The enumeration date for this NPI number is 3/3/2006 and was last updated on 4/30/2019.

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
1100726820AMEDICAIDOKLAHOMA
2105694002MEDICAIDARKANSAS

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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