Healthcare Provider Details
I. General information
NPI: 1053353441
Provider Name (Legal Business Name): TOUCHSTONE IMAGING OF HOT SPRINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2006
Last Update Date: 11/03/2023
Certification Date: 11/03/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3633 CENTRAL AVE STE 100
HOT SPRINGS AR
71913-6404
US
IV. Provider business mailing address
PO BOX 746580
ATLANTA GA
30374-6580
US
V. Phone/Fax
- Phone: 501-623-6736
- Fax: 501-623-1610
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 293D00000X |
| Taxonomy | Physiological Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATE
ROELLE
Title or Position: DIRECTOR OF CREDENTIALING
Credential:
Phone: 614-689-1691