Provider Demographics
NPI:1033175567
Name:RADIOLOGY CONSULTANTS L L P
Entity Type:Organization
Organization Name:RADIOLOGY CONSULTANTS L L P
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:D
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:CAMPANINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-223-1014
Mailing Address - Street 1:PO BOX 3488
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38803-3488
Mailing Address - Country:US
Mailing Address - Phone:903-223-1014
Mailing Address - Fax:903-223-1028
Practice Address - Street 1:2600 SAINT MICHAEL DR
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2372
Practice Address - Country:US
Practice Address - Phone:903-223-1014
Practice Address - Fax:903-223-1028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2023-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR103384002Medicaid
TX121768901Medicaid
AR103384002Medicaid
AR57044Medicare ID - Type UnspecifiedAR MEDICARE GRP PROV #