Organization Active NPI

Pope County Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Russellville, AR
National Provider Identifier
1235149469
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
LIMITED LIABILITY Issued in AR
Legal business name
POPE COUNTY IMAGING
Practice address
3127 W 2ND Court
Ste a
Russellville, AR 72811
Phone
(479) 498-6360
Fax
(479) 498-6364
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X LIMITED LIABILITY AR Primary

Addresses

Primary practice location

3127 W 2ND Court
Ste a
Russellville, AR 72811

Mailing address

PO Box 9010
Russellville, AR 72811
Phone (479) 498-6360

National Provider Directory

National Provider Directory

Locations

3127 W 2nd Ct
Ste A
Russellville, AR 72801
Phone (479) 498-6360

3127 W 2nd Ct
Ste 1
Russellville, AR 72801
Phone (479) 498-6360

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1235149469",
    "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": "72811",
            "telephone_number": "479-498-6360",
            "fax_number": "479-498-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 W 2ND COURT",
            "address_2": "STE A",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72811",
            "telephone_number": "479-498-6360",
            "fax_number": "479-498-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPE COUNTY IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "KIST",
        "authorized_official_first_name": "MONTI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "479-967-6492"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "AR",
            "license": "LIMITED LIABILITY",
            "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 Nov 21, 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.