Organization Active NPI

Foothill Diagnostic

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Hattieville, AR
National Provider Identifier
1174197891
Registry record updated May 31, 2021
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
FOOTHILL DIAGNOSTIC
Practice address
207 Kaufman LN
Hattieville, AR 72063-8918
Phone
(501) 208-3540
NPI assigned
May 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2021

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

Authorized official

Name
Alison Marie Ruff, RN
Title
Co-Owner
Phone
(501) 208-3540

Specialties & licenses 1

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

Addresses

Primary practice location

207 Kaufman LN
Hattieville, AR 72063-8918

Mailing address

207 Kaufman LN
Hattieville, AR 72063-8918
Phone (501) 208-3540

National Provider Directory

National Provider Directory

Locations

1125 Morningside Dr
Conway, AR 72034
Phone (501) 327-9746

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": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622419200000",
    "number": "1174197891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 KAUFMAN LN",
            "city": "HATTIEVILLE",
            "state": "AR",
            "postal_code": "720638918",
            "telephone_number": "501-208-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 KAUFMAN LN",
            "city": "HATTIEVILLE",
            "state": "AR",
            "postal_code": "720638918",
            "telephone_number": "501-208-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A",
        "authorized_official_last_name": "RUFF",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "501-208-3540",
        "authorized_official_credential": "RN"
    },
    "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 Hattieville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.