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Contact Information

WEST MEMPHIS PET IMAGING, LLC
316 W TYLER AVE
WEST MEMPHIS, AR72301-4225
 Phone: 870-732-8200
 Fax: 870-732-8201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for WEST MEMPHIS PET IMAGING, LLC

NPI Number 1316139231
LBN Legal business name WEST MEMPHIS PET IMAGING, LLC
Authorized official RONALD RONEY - (CHIEF MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/14/2007
Last updated 06/02/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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