Healthcare Provider Details

I. General information

NPI: 1871575894
Provider Name (Legal Business Name): MRI CENTRAL LITTLE ROCK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 09/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4020 RICHARDS RD STE D
NORTH LITTLE ROCK AR
72117-2744
US

IV. Provider business mailing address

12225 GREENVILLE AVE STE 700
DALLAS TX
75243-9338
US

V. Phone/Fax

Practice location:
  • Phone: 501-945-9990
  • Fax: 501-945-9994
Mailing address:
  • Phone: 877-361-8018
  • Fax: 888-542-6858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number StateAR

VIII. Authorized Official

Name: MR. GARTH F JAMES
Title or Position: PRESIDENT
Credential:
Phone: 214-368-9966