NPIMap

Organization Active NPI

Debra Faulkner

Doing business as Portable Imaging

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • El Dorado, AR
National Provider Identifier
1265620868
Registry record updated Aug 30, 2010
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
DEBRA FAULKNER
Doing business as
Portable Imaging
Practice address
3025 N Wyatt Dr
El Dorado, AR 71730-4189
Phone
(870) 310-0321
Fax
(870) 862-2074
NPI assigned
Oct 9, 2007
Last updated
Aug 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Ms. Debra Kay Faulkner, R.T.NPI 1275529893
Title
Owner
Phone
(870) 310-0321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3025 N Wyatt Dr
El Dorado, AR 71730-4189

Mailing address

3025 N Wyatt Dr
El Dorado, AR 71730-4189
Phone (870) 310-0321

Other names 1

  • Portable Imaging Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1265620868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 N WYATT DR",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304189",
            "telephone_number": "870-310-0321",
            "fax_number": "870-862-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 N WYATT DR",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304189",
            "telephone_number": "870-310-0321",
            "fax_number": "870-862-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA FAULKNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-310-0321",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.T."
    },
    "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": [
        {
            "organization_name": "Portable Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.