South Arkansas Open MRI LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SOUTH ARKANSAS OPEN MRI LLC

Practice address

2401 W Hillsboro St
El Dorado, AR 71730-6815

Phone

(870) 862-4624

NPI assigned

Jun 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derek M Prentice

Title

Managing Member

Phone

(405) 418-2200

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• South Arkansas Orthopaedics and Sports Medicine Center PLLC

  dba South Arkansas Orthopaedics

  • Specialist
  • El Dorado, AR
  • NPI 1407845951

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073719423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 HEFNER POINTE DR",
            "address_2": "STE 218",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205054",
            "telephone_number": "405-418-2900",
            "fax_number": "405-418-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W HILLSBORO ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306815",
            "telephone_number": "870-862-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ARKANSAS OPEN MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRENTICE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-418-2200"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Arkansas Emergency Physicians LLP
• South Arkansas Eye Clinic PLLC
• South Arkansas Medical Associates Idtf (SAMA HealthCare Services IDTF)
• South Arkansas Medical Associates PLLC (SAMA HealthCare Services)
• South Arkansas Oil Co (Midsouth Pharmacy)
• South Arkansas Oral Surgery and Implant Center
• South Arkansas Orthopaedics and Sports Medicine Center PLLC (South Arkansas Orthopaedics)
• South Arkansas Pharmacy, Inc (SAMA Clinic Pharmacy)
• South Arkansas Physician Group LLC
• South Arkansas Physician Group LLC

• Radiology Clinic/Center in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Radiology Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.