Misty Mountain Imaging, Inc.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

261QR0208X Issued in AR

Legal business name

MISTY MOUNTAIN IMAGING, INC.

Practice address

530 County Road 675
Mountain Home, AR 72653-9834

Phone

(870) 491-5555

Fax

(870) 491-7638

NPI assigned

Jan 20, 2006

Last updated

Aug 22, 2020By 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

Mrs. Samantha A Schmeski

Title

Office Manager

Phone

(870) 491-5555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407836893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 COUNTY ROAD 675",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726539834",
            "telephone_number": "870-491-5555",
            "fax_number": "870-491-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 COUNTY ROAD 675",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726539834",
            "telephone_number": "870-491-5555",
            "fax_number": "870-491-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTY MOUNTAIN IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMESKI",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-491-5555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "AR",
            "license": "261QR0208X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Miller, LMSW
• Logan Miller, COTA/L
• Cathy Lyn Milliger, L.P.C.
• Angela Milliken
• Richie Minton, PTA
• Christan Danielle Mitchell, AT
• Jacob Wagner Mitchell
• Jeffrey L Mitchell
• Anastasios Mitsakos, MD
• Montera Health Arkansas LLC

• Mobile Radiology Clinic/Center in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Mobile Radiology Clinic/Center in Arkansas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.