Nea Clinic Imaging Center

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

Legal business name

NEA CLINIC IMAGING CENTER

Practice address

3100 Apache Dr Ste C1
Jonesboro, AR 72401-7426

Phone

(870) 934-3533

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Scot Davis

Title

Coo

Phone

(870) 934-5108

Specialties & licenses 1

Addresses

Tax ID family

Northeast Arkansas Clin3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northeast Ark Int Med C

  • Clinical Medical Laboratory
  • Jonesboro, AR
  • NPI 1992992085
  NPD tax ID
• Northeast Arkansas Clinic, P.a.

  • Sleep Disorder Diagnostic Clinic/Center
  • Jonesboro, AR
  • NPI 1588809792
  NPD tax ID

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1932255486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 APACHE DR STE C1",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017426",
            "telephone_number": "870-934-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 APACHE DR STE C1",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017426",
            "telephone_number": "870-934-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEA CLINIC IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SCOT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "870-934-5108"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NE Arkansas Otolaryngology Facial Surgery P a
• Nea Children'S Therapy Services
• Nea Divine Intervention Inc
• Nea Electrolysis LLC
• Nea Massage Therapy, LLC
• Nea Massage Therapy, LLC
• Nea Medsource, Inc

• Body Imaging Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Body Imaging Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.