Active NPI
St.Bernards Imaging Center
- Diagnostic Radiology Physician
- Jonesboro, AR
National Provider Identifier
1376506980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- ST.BERNARDS IMAGING CENTER
- Practice address
- 1144 E Matthews Ave
Jonesboro, AR 72401-4314 - Phone
- (800) 803-6376
- Fax
- (479) 968-4331
- NPI assigned
- Apr 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kerri Couch
- Title
- Manager
- Phone
- (479) 968-7930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1144 E Matthews Ave
Jonesboro, AR 72401-4314
Mailing address
PO Box 9178
Russellville, AR 72811-9178
Phone (479) 968-7930
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D1041985 | St Bernards Imaging Center | Certificate of waiver | Feb 25, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Wynne, AR
- NPI 1043232812
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376506980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9178",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728119178",
"telephone_number": "479-968-7930",
"fax_number": "479-968-4331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1144 E MATTHEWS AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014314",
"telephone_number": "800-803-6376",
"fax_number": "479-968-4331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST.BERNARDS IMAGING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COUCH",
"authorized_official_first_name": "KERRI",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "479-968-7930"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.