Valley Diagnostics Inc

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

VALLEY DIAGNOSTICS INC

Practice address

2504 West Main
Suite H
Russellville, AR 72801

Phone

(479) 967-6492

Fax

(479) 967-6509

NPI assigned

Dec 2, 2005

Last updated

Jul 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Monti L Kist

Title

President Owner

Phone

(479) 967-6492

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1376527390",
    "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": "728119010",
            "telephone_number": "479-967-6492",
            "fax_number": "479-967-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 WEST MAIN",
            "address_2": "SUITE H",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72801",
            "telephone_number": "479-967-6492",
            "fax_number": "479-967-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "KIST",
        "authorized_official_first_name": "MONTI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "479-967-6492",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146594002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jarod Louis Underwood
• Shawn Underwood, RECOVERY ASSISTANT
• Gail L Ungemach, CADC
• Urology Clinic PA
• Vafa Ferdowsian DPM, P.a. (Foot and Ankle Specialty Clinic)
• Valley Diagnostics Inc
• Valley Diagnostics, Inc
• Natalie Grier Van Es, OT
• Brandi Vanamburg, LAC
• Jillian E Vandergriff

• Magnetic Resonance Imaging (MRI) Clinic/Center in Russellville, AR
• Providers in Russellville, AR by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.