Provider Demographics
NPI:1750349247
Name:R AND A RADIOLOGY LLP
Entity type:Organization
Organization Name:R AND A RADIOLOGY LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WILMA
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-494-0500
Mailing Address - Street 1:310 LEXINGTON AVE
Mailing Address - Street 2:P O BOX 1268
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72901-3843
Mailing Address - Country:US
Mailing Address - Phone:479-494-0500
Mailing Address - Fax:479-494-0575
Practice Address - Street 1:310 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72901-3843
Practice Address - Country:US
Practice Address - Phone:479-494-0500
Practice Address - Fax:479-494-0575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty