Healthcare Provider Details

I. General information

NPI: 1679604409
Provider Name (Legal Business Name): JON ROBERT JOSLIN R MR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BAPTIST HEALTH LITTLE ROCK MRI DEPT 9601 LILE DR STE 118
LITTLE ROCK AR
72205
US

IV. Provider business mailing address

25 JOSLIN LN
PLUMERVILLE AR
72127-8009
US

V. Phone/Fax

Practice location:
  • Phone: 501-334-5877
  • Fax:
Mailing address:
  • Phone: 501-354-5877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License NumberRT 1281
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code2471M1202X
TaxonomyMagnetic Resonance Imaging Radiologic Technologist
License Number256373
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: