NPIMap

Organization Active NPI

Valley Diagnostics, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Russellville, AR
National Provider Identifier
1104991124
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
VALLEY DIAGNOSTICS, INC
Practice address
2504 W Main St
Ste H
Russellville, AR 72801-2533
Phone
(479) 967-6492
Fax
(479) 967-6509
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Mr. Monti L Kist
Title
Owner
Phone
(479) 967-6492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

2504 W Main St
Ste H
Russellville, AR 72801-2533

Mailing address

PO Box 9010
Russellville, AR 72811-9010
Phone (479) 967-6492

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1104991124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9010",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119010",
            "telephone_number": "479-967-6492",
            "fax_number": "479-967-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 W MAIN ST",
            "address_2": "STE H",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012533",
            "telephone_number": "479-967-6492",
            "fax_number": "479-967-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "KIST",
        "authorized_official_first_name": "MONTI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-967-6492",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.