Healthcare Provider Details
I. General information
NPI: 1083561054
Provider Name (Legal Business Name): VERALUX
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2000 S 42ND ST STE 120
ROGERS AR
72758-2093
US
IV. Provider business mailing address
2000 S 42ND ST STE 120
ROGERS AR
72758-2093
US
V. Phone/Fax
- Phone: 479-278-7153
- Fax: 833-979-3600
- Phone: 479-278-7153
- Fax: 833-979-3600
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1200X |
| Taxonomy | Magnetic Resonance Imaging (MRI) Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VANESSA
HARDIN
BRANCH
Title or Position: OWNER
Credential: MD
Phone: 479-841-3846