PRIME MEDICAL IMAGING
NPI 1952318099
Clinic/Center - Medical Specialty in Van Buren, AR

Active since August 02, 2006CLIA 04D1101308 · Waiver
320 S 9TH ST, VAN BUREN, AR 72956(479) 474-1616(479) 471-5637 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prime Medical Imaging NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIME MEDICAL IMAGING (NPI 1952318099) is a healthcare organization registered as a medical specialty in Van Buren, Arkansas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Gregg S Daniels, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1952318099
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePRIME MEDICAL IMAGING, A DIVISION OF RADIOLOGISTS, P.A.
Location Address320 S 9TH STVan Buren, AR 72956-5826
Mailing Address320 South Ninth St.Van Buren, AR 72956 · (479) 474-1616 · Fax (479) 471-5637
Fax(479) 471-5637
Organization SubpartYesParent: Radiologists Pa
Authorized OfficialGregg S DanielsBusiness Manager · (479) 452-9416
Enumeration DateAugust 2, 2006
Last NPPES UpdateApril 30, 2019
NPI 1952318099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
320 S 9TH ST, Van Buren, AR 72956

Other Names 2

Doing Business AsPrime Medical Imaging
Doing Business AsRadiologists, P.a.

Other Identifiers 2

Medicaid146682002AR
Medicaid100846780AOK

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D1101308

Prime Medical Imaging · Van Buren, AR
Active · expires Jun 23, 2027
CLIA Number04D1101308
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorAndrea Edwards
Laboratory Phone(479) 474-1616
Laboratory LocationPrime Medical Imaging320 South 9th, Van Buren, AR 72956
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prime Medical Imaging, A Division Of Radiologists, P.A.'s NPI number?

The NPI number for Prime Medical Imaging, A Division Of Radiologists, P.A. is 1952318099. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Prime Medical Imaging and Radiologists, P.A..

Where is Prime Medical Imaging, A Division Of Radiologists, P.A. located?

Prime Medical Imaging, A Division Of Radiologists, P.A. is located at 320 S 9th St, Van Buren, AR 72956. The listed phone number is (479) 474-1616.

What is Prime Medical Imaging, A Division Of Radiologists, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Prime Medical Imaging, A Division Of Radiologists, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1101308) is associated with this NPI, valid through June 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prime Medical Imaging, A Division Of Radiologists, P.A. was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.