Arkansas Diagnostic Center, PA

Organization Active NPI Specialist · Little Rock, AR

NPI 1003259490 · NPPES record last updated Apr 16, 2013

Key facts

NPI
1003259490
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
BL109593 (AR)
Legal business name
ARKANSAS DIAGNOSTIC CENTER, PA
Practice address
8908 Kanis Rd
Little Rock, AR 72205-6414
Phone
(501) 227-7688
Fax
(501) 228-3509
NPI assigned
Apr 16, 2013
Organization subpart
No

Authorized official

Name
Mrs. Marion York
Title
Office Administrator
Phone
(501) 227-7688

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193200000X MULTI-SPECIALTY GROUP
174400000X BL109593 AR Yes

Addresses

Primary practice location

8908 Kanis Rd
Little Rock, AR 72205-6414

Mailing address

PO Box 55130
Little Rock, AR 72215-5130
Phone (501) 227-7688

Other identifiers

IdentifierTypeStateIssuer
196121716OtherARMEDICAID DME/PROSTHETICS

Other providers in Little Rock, AR

All providers in Little Rock, AR · Specialist in Arkansas

Sources for this page

Verify at the official NPI Registry.