NPI 1104991124
Valley Diagnostics, INC
Practice location
- Address
- 2504 W Main St STE H, Russellville, AR 72801-2533
- Phone
- (479) 967-6492
- Fax
- (479) 967-6509
- Mailing address
- PO Box 9010, Russellville, AR 72811-9010
Authorised official
- Name
- Monti L Kist
- Title
- Owner
- Phone
- (479) 967-6492
Registered specialties
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
Registry record
- NPI
- 1104991124
- Entity type
- Organization
- NPI issued
- 22 Nov 2006
- Record last updated
- 18 Oct 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.