River Valley Mobile Radiology, Inc.

LBN: River Valley Mobile Radiology, Inc.
River Valley Mobile Radiology, Inc. is an health care organization with primary practice located at 76 Stream Rd , Russellville AR 72802-1824. 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. River Valley Mobile Radiology, Inc. can be contacted via phone (479) 857-4002, or through Balentine, Rick via phone (479) 857-4002.

Contact Information

Primary practice address
76 Stream Rd Russellville AR 72802-1824
Phone: (479) 857-4002
Fax: (479) 968-1363
Website:
Map and Directions
Authorized official contact:
Name: Balentine, Rick
Phone: (479) 857-4002

Health care specialties

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

Profile Details

NPI number 1306901806
LBN Legal business name River Valley Mobile Radiology, Inc.
DBA Doing business as
Authorized official Balentine, Rick
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Jun 15th, 2010 - about 14 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 1306901806 NPPES
Arkansas MEDICAID 152618710

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