Arkansas Medical Imaging Jv LLC
NPI #1851701783 in Fayetteville, Arkansas
Provider Information
- NPI Number
- 1851701783
- Entity Type
- Organization
- Organization Name
- Arkansas Medical Imaging Jv LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Apr 30, 2014
- Last Updated
- Feb 14, 2022
Practice Location
- Address
- 361 E MILLSAP RD
- City
- Fayetteville
- State
- Arkansas
- ZIP Code
- 72703-6289
- Phone
- (479) 442-7740
Authorized Official
- Name
- JENNIFER L JACKSON
- Title
- SR DIRECTOR PROVIDER ENROLLMENT
- Phone
- (877) 892-9815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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