Healthcare Provider Details

I. General information

NPI: 1942183223
Provider Name (Legal Business Name): ARKANSAS VASCULAR SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 WESTVILLE RD
VAN BUREN AR
72956-8593
US

IV. Provider business mailing address

PO BOX 421
FORT SMITH AR
72902-0421
US

V. Phone/Fax

Practice location:
  • Phone: 479-222-0131
  • Fax: 479-977-4285
Mailing address:
  • Phone: 479-652-0909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: RACHAEL ANN GRAHAM
Title or Position: OWNER
Credential: RVT
Phone: 479-652-0909