MEDICARE: TOUCHSTONE IMAGING OF HOT SPRINGS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center
2	293D00000X	Physiological Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5C260	OTHER	AR	BCBS

General Provider Information

NPI Number	:	1053353441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOUCHSTONE IMAGING OF HOT SPRINGS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 746580
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6580
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3633 CENTRAL AVE STE 100
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-6404
Country	:	US
Telephone Number	:	501-623-6736
Fax Number	:	501-623-1610

Authorized Official
Title or Position	:	DIRECTOR OF CREDENTIALING
Name	:	KATE ROELLE
Credential	:
Telephone Number	:	614-689-1691

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	11/03/2023

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