| Organization Name: | INTERVENTIONAL RADIOLOGY AND IMAGING SPECIALISTS, PLLC |
| NPI Number: | 1699719799 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOUGLAS ELLIOTT (MANAGING PARTNER) |
| Mailing Address: | 4301 Greathouse Springs Rd., Suite # Rad Room 1064 Johnson |
| State: | AR US |
| Postal Code: | 72741 |
| Phone Number: | 4794428346 |
| Fax Number: | 4795824723 |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0204X |
| License Number: | MC-2430 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Vascular & Interventional Radiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |