NPIMap

Organization Active NPI

Cabot Imaging Center, LLC

  • Radiology Clinic/Center
  • Cabot, AR
National Provider Identifier
1467492009
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
MC-0023 Issued in AR
Legal business name
CABOT IMAGING CENTER, LLC
Practice address
2039 West Main Street
Suite a
Cabot, AR 72023
Phone
(501) 537-3711
Fax
(501) 664-0302
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Taunia Stadter
Title
Chief Administrative Officer
Phone
(501) 686-2635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X MC-0023 AR Primary

Addresses

Primary practice location

2039 West Main Street
Suite a
Cabot, AR 72023

Mailing address

500 South University Ave
Suite 600
Little Rock, AR 72205
Phone (501) 686-2635

Other names 1

  • Cabot Imaging Center Doing business as

National Provider Directory

National Provider Directory

Locations

2039 W Main St
Ste A
Cabot, AR 72023
Phone (501) 537-3711

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467492009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SOUTH UNIVERSITY AVE",
            "address_2": "SUITE 600",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-686-2635",
            "fax_number": "501-664-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 WEST MAIN STREET",
            "address_2": "SUITE A",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "72023",
            "telephone_number": "501-537-3711",
            "fax_number": "501-664-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABOT IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STADTER",
        "authorized_official_first_name": "TAUNIA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "501-686-2635"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "AR",
            "license": "MC-0023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cabot Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

Verify at the official NPI Registry.