Bentonville Radiology Consultants, Pllc
LBN: Bentonville Radiology Consultants, Pllc
Bentonville Radiology Consultants, Pllc is an health care organization with primary practice located at 3000 Medical Center Pkwy , Bentonville AR 72712-3217. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
Bentonville Radiology Consultants, Pllc can be contacted via phone (479) 553-1000, or through Jong, David G via phone (918) 392-1706.
Contact Information
Primary practice address
3000 Medical Center Pkwy
Bentonville AR 72712-3217
Phone: (479) 553-1000
Fax: (918) 664-6120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1003882747 |
|---|---|
| LBN Legal business name | Bentonville Radiology Consultants, Pllc |
| DBA Doing business as | |
| Authorized official | Jong, David G Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | May 24th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003882747 | NPPES |
| Arkansas | Other | 5F285 | ARK. BCBS |
| Arkansas | MEDICAID | 156414002 | ARK. BCBS |
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