MOBILE DYSPHAGIA IMAGING, LLC (NPI# 1710369228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710369228 |
| Entity Type | Organization |
| Organization Name | MOBILE DYSPHAGIA IMAGING, LLC |
| Practice Address |
806 Crestwood St Springdale AR 72762-5119 |
| Practice Telephone | 4792534430 |
| Mailing Telephone | 4792534430 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |
| Authorized Official Name | TIMOTHY ERIC PAYNE (MEMBER) |
| Authorized Official Telephone | 4792534430 |
| Authorized Official Credential | RT(R) |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
RTL6981 | AR | Ambulatory Health Care Facilities |
| Street Address |
806 CRESTWOOD ST |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-5119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194257642 | Peek In The Pod | Clinic/Center | 2720 N Woods Ln, Suite C, Rogers, AR 72756-6709 | 2017-04-03 |
| 1851701106 | Quality Mobile Medical Imaging LLC | Clinic/Center | 802 Sw Sandrock Rd, Bentonville, AR 72712-8227 | 2014-05-07 |
| 1225217243 | Debra Faulkner | Clinic/Center | 532 W Faulkner St, El Dorado, AR 71730-4519 | 2007-10-26 |
| 1407836893 | Misty Mountain Imaging, Inc. | Clinic/Center | 530 County Road 675, Mountain Home, AR 72653-9834 | 2006-01-20 |
| 1316464878 | Clearview Digital Image LLC | Clinic/Center | 16502 Lawson Rd Ste A, Little Rock, AR 72210-2020 | 2017-08-25 |
| 1629395975 | On-site Imaging Solutions, Inc. | Clinic/Center | 16502 Lawson Rd, Little Rock, AR 72210-2020 | 2010-04-27 |
| 1124355334 | Heart Institute of Tulsa | Clinic/Center | 530 County Road 675, Mountain Home, AR 72653-9834 | 2009-11-09 |
| City | SPRINGDALE |
| Zip Code | 72762 |
Please comment or provide details below to improve the information on MOBILE DYSPHAGIA IMAGING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.