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NPI Code Detail

MEDICARE: VERALUX

MEDICARE: VERALUX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0200XRadiology Clinic/Center
2261QM1200XMagnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number : 1083561054
Entity Type Code : Organization
Provider Name (Legal Business Name) : VERALUX
Provider Business Mailing Address
First Line : 2000 S 42ND ST STE 120
Second Line :
City : ROGERS
State : AR
Zip : 72758-2093
Country : US
Telephone Number : 479-278-7153
Fax Number : 833-979-3600
Provider Business Practice Location Address
First Line : 2000 S 42ND ST STE 120
Second Line :
City : ROGERS
State : AR
Zip : 72758-2093
Country : US
Telephone Number : 479-278-7153
Fax Number : 833-979-3600
Authorized Official
Title or Position : OWNER
Name : VANESSA HARDIN BRANCH
Credential : MD
Telephone Number : 479-841-3846
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “VERALUX ” Practice Location

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