Organization Active NPI

Lansdell Enterprise Corp

  • Radiology Clinic/Center
  • De Queen, AR
National Provider Identifier
1568086940
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
LANSDELL ENTERPRISE CORP
Practice address
500 E Collin Raye Dr Ste 4
De Queen, AR 71832-8048
Phone
(870) 584-1055
NPI assigned
Jun 2, 2020
Organization subpart
Yes
Parent organization
LANSDELL ENTERPRISE CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Michael Lansdell
Title
Owner
Phone
(870) 584-1055

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

500 E Collin Raye Dr Ste 4
De Queen, AR 71832-8048

Mailing address

500 E Collin Raye Dr
De Queen, AR 71832-8048
Phone (870) 584-1055

Other names 1

  • Lansdell Imaging Center Doing business as

National Provider Directory

National Provider Directory
Part of
Lansdell Enterprise Corp

Locations

500 E Collin Raye Dr
Ste 4
De Queen, AR 71832
Phone (870) 584-1055

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1568086940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E COLLIN RAYE DR",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718328048",
            "telephone_number": "870-584-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E COLLIN RAYE DR STE 4",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718328048",
            "telephone_number": "870-584-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANSDELL ENTERPRISE CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANSDELL ENTERPRISE CORP",
        "enumeration_date": "2020-06-02",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "LANSDELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-584-1055"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lansdell Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in De Queen, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.