Provider Demographics
NPI:1700873080
Name:IMAGING SOLUTIONS OF ARKANSAS, LLC
Entity Type:Organization
Organization Name:IMAGING SOLUTIONS OF ARKANSAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NOELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-978-3112
Mailing Address - Street 1:3500 SPRINGHILL DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117
Mailing Address - Country:US
Mailing Address - Phone:501-978-3112
Mailing Address - Fax:501-945-1025
Practice Address - Street 1:3500 SPRINGHILL DR
Practice Address - Street 2:#100
Practice Address - City:N LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117
Practice Address - Country:US
Practice Address - Phone:501-978-3112
Practice Address - Fax:501-945-1025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F035Medicare ID - Type Unspecified