Organization Active NPI

Luxe Medical Imaging, LLC

  • Radiology Clinic/Center
  • Fayetteville, AR
National Provider Identifier
1154240372
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
LUXE MEDICAL IMAGING, LLC
Practice address
361 E Millsap Rd
Fayetteville, AR 72703-6289
Phone
(479) 488-5893
Fax
(479) 488-5893
NPI assigned
Jul 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Amber Lynne Pellham
Title
Director
Phone
(479) 488-5893

Specialties & licenses 1

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

Addresses

Primary practice location

361 E Millsap Rd
Fayetteville, AR 72703-6289

Mailing address

361 E Millsap Rd
Fayetteville, AR 72703-6289
Phone (479) 488-5893

National Provider Directory

National Provider Directory
Tax ID family
Luxe Medical Imaging LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1154240372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 E MILLSAP RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036289",
            "telephone_number": "479-488-5893",
            "fax_number": "479-488-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 E MILLSAP RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036289",
            "telephone_number": "479-488-5893",
            "fax_number": "479-488-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXE MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "PELLHAM",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "479-488-5893"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.