NPIMap

Organization Active NPI

Southark Imaging LLC

  • Radiology Clinic/Center
  • El Dorado, AR
National Provider Identifier
1013203785
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SOUTHARK IMAGING LLC
Practice address
3025 N Wyatt Dr
El Dorado, AR 71730-4189
Phone
(870) 310-0321
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Debra Kay Faulkner, R.T.NPI 1275529893
Title
Vice President
Phone
(870) 310-0321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

3025 N Wyatt Dr
El Dorado, AR 71730-4189

Mailing address

3025 N Wyatt Dr
El Dorado, AR 71730-4189
Phone (870) 310-0321

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1013203785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 N WYATT DR",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304189",
            "telephone_number": "870-310-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 N WYATT DR",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304189",
            "telephone_number": "870-310-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHARK IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "870-310-0321",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.