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PREMIER MRI OF LITTLE ROCK, INC.

Laboratories Physiological Laboratory

Provider NPI: 1538151303

Organization Information:
Organization Name:  PREMIER MRI OF LITTLE ROCK, INC.
Authorized Official:  BRETT  MATTHEWS  FACILITY MANAGER  501-374-7674

Practice Location:
906 BROADWAY ST  LITTLE ROCK, AR 72201-4126 US
Tel: 501-374-7674  Fax: 501-374-5664

Business Mailing Address:
906 BROADWAY ST  LITTLE ROCK, AR 72201-4126 US
Tel: 501-374-7674  Fax: 501-374-5664

NPI Information:
NPI: 1538151303
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y293D00000XLaboratories
Physiological Laboratory

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 293D00000X

Type:

Classification:



Definition:



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