Portable Imaging

LBN: Debra Faulkner
Portable Imaging is an health care organization with primary practice located at 3025 N Wyatt Dr , El Dorado AR 71730-4189. The organization recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as the primary health care specialty. Debra Faulkner can be contacted via phone (870) 310-0321, or through Faulkner, Debra Kay via phone (870) 310-0321.

Contact Information

Primary practice address
3025 N Wyatt Dr El Dorado AR 71730-4189
Phone: (870) 310-0321
Fax: (870) 862-2074
Website:
Map and Directions
Authorized official contact:
Name: Faulkner, Debra Kay Radiologic Technologist (RT)
Phone: (870) 310-0321

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Profile Details

NPI number 1265620868
LBN Legal business name Debra Faulkner
DBA Doing business as Portable Imaging
Authorized official Faulkner, Debra Kay Radiologic Technologist (RT)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2007
Last updated Aug 30th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265620868 NPPES
Arkansas MEDICAID 140983710

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