Healthcare Provider Details

I. General information

NPI: 1639124118
Provider Name (Legal Business Name): RADIOLOGY CONSULTANTS OF LITTLE ROCK, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 12/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 BAPTIST HEALTH DR SUITE 1100
LITTLE ROCK AR
72205-6321
US

IV. Provider business mailing address

9601 BAPTIST HEALTH DR SUITE 1100
LITTLE ROCK AR
72205-6321
US

V. Phone/Fax

Practice location:
  • Phone: 501-227-5240
  • Fax: 501-227-9151
Mailing address:
  • Phone: 501-227-5240
  • Fax: 501-227-9151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. CYNTHIA D FINLAY
Title or Position: EXECUTIVE SECRETARY
Credential:
Phone: 501-748-3214