Med Imaging of Arkansas, PLLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MED IMAGING OF ARKANSAS, PLLC

Doing business as

Med Imaging of Arkansas

Practice address

6948 Alcoa Rd
Suite G
Benton, AR 72015-9726

Phone

(501) 778-9729

Fax

(501) 776-2695

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Bonnie J. Roan

Title

Administration Manager

Phone

(501) 778-9729

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Med Imaging of Arkansas Doing business as

Locations

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1760660351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6948 ALCOA RD",
            "address_2": "SUITE G",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720159726",
            "telephone_number": "501-778-9729",
            "fax_number": "501-776-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6948 ALCOA RD",
            "address_2": "SUITE G",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720159726",
            "telephone_number": "501-778-9729",
            "fax_number": "501-776-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED IMAGING OF ARKANSAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "ROAN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATION MANAGER",
        "authorized_official_telephone_number": "501-778-9729",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00685566",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WINDSOR",
            "identifier": "1760660351",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171546002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2919223",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4444567",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Imaging of Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taiquera McNeely, RECOVERY ASSISTANT
• Cody McPherson, RECOVERY ASSISTANT
• Heather McPherson, RECOVERY ASSISTANT
• Angela Kay McWhorter, MS, CCC-SLP
• Lakieva Meadows, RECOVERY ASSISTANT
• Medexpress Urgent Care Arkansas, P.a.
• Robert Meek, RECOVERY ASSISTANT
• Christopher Meigs, LCSW
• Alexandra Mejia, RECOVERY ASSISTANT
• Mentor Abi, LLC

• Radiology Clinic/Center in Benton, AR
• Providers in Benton, AR by specialty
• Radiology Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.