| Organization Name: | STONEBRIAR IMAGING OF NORTH LITTLE ROCK LLC |
| NPI Number: | 1023355385 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILLIP A. CLIFFORD (MANAGING PARTNER) |
| Mailing Address: | 3320 Springhill Dr Suite 100 N Little Rock |
| State: | AR US |
| Postal Code: | 721172922 |
| Phone Number: | 2144614852 |
| Fax Number: | |
| NPI Enumeration Date: | 01/07/2013 |
| NPI Last Update Date: | 01/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |