Organization Active NPI

Valley Diagnostics Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Russellville, AR
National Provider Identifier
1841384112
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
VALLEY DIAGNOSTICS INC
Practice address
2504 W Main St
Suite H
Russellville, AR 72801-2533
Phone
(479) 967-6492
Fax
(479) 967-6509
NPI assigned
Oct 3, 2006
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU Primary

Addresses

Primary practice location

2504 W Main St
Suite H
Russellville, AR 72801-2533

Mailing address

PO Box 9010
Russellville, AR 72811-9010
Phone (479) 967-6492

Other identifiers 1

IdentifierTypeStateIssuer
146594002MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1841384112",
    "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 W MAIN ST",
            "address_2": "SUITE H",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012533",
            "telephone_number": "479-967-6492",
            "fax_number": "479-967-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-10-18",
        "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": []
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.