PREMIER MRI OF TULSA, INC. (NPI# 1285626051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285626051 |
Entity Type | Organization |
Organization Name | PREMIER MRI OF TULSA, INC. |
Practice Address |
3345 S Harvard Ave Suite 103a Tulsa OK 74135-1812 |
Practice Telephone | 9187499980 |
Mailing Telephone | 9187499980 |
Enumeration Date | 2005-08-18 |
Last Update Date | 2020-08-22 |
Authorized Official Name | RITA KIRKENDALL (FACILITY MANAGER) |
Authorized Official Telephone | 9187499980 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory | Laboratories |
Street Address |
3345 S HARVARD AVE SUITE 103A |
City | TULSA |
State | OK |
Zip Code | 74135-1812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306349709 | Megan Mckinney | Physical Therapist | 3345 S Harvard Ave, Tulsa, OK 74135-1812 | 2018-03-12 |
1154876258 | Tulsa Modern Dental | Dentist | 3345 S Harvard Ave, Suite 302, Tulsa, OK 74135-1812 | 2016-08-18 |
1962832055 | Megan Warner | Physical Therapist | 3345 S Harvard Ave, Ste. 101, Tulsa, OK 74135-1812 | 2013-11-26 |
1659617876 | Holly Shannon Thompson | Physical Therapist | 3345 S Harvard Ave, Suite 101, Tulsa, OK 74135-1812 | 2012-12-14 |
1497054571 | Gastroenterology United of Tulsa PC | Specialist | 3345 S Harvard Ave, #301, Tulsa, OK 74135-1812 | 2011-03-15 |
1578867503 | Cohmed Pllc | Family Medicine | 3345 S Harvard Ave, Suite 202, Tulsa, OK 74135-1812 | 2011-01-05 |
1952623464 | Orthopedic Physical Therapy Specialists, Pllc | Physical Therapist | 3345 S Harvard Ave, Suite 101, Tulsa, OK 74135-1812 | 2010-02-24 |
1679748354 | Midtown Dentistry,inc | Dentist | 3345 S Harvard Ave, Suite 102, Tulsa, OK 74135-1812 | 2008-04-24 |
1396930277 | Peoria Medical LLC | Chiropractor | 3345 S Harvard Ave, Ste #101, Tulsa, OK 74135-1812 | 2007-09-13 |
1639247679 | Ryan Matthew Smith | Physical Therapist | 3345 S Harvard Ave, Suite 101, Tulsa, OK 74135-1812 | 2006-11-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
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Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174045413 | Touchstone Imaging of Oklahoma, LLC | Physiological Laboratory | 1826 E 15th St Ste A, Tulsa, OK 74104-4637 | 2017-07-07 |
1063512275 | Tulsa Diagnostic Imaging | Physiological Laboratory | 6046 South Sheridan Road, Tulsa, OK 74145 | 2006-09-25 |
1932464369 | Oktx | Physiological Laboratory | 7225 S 85th East Ave, Suite 300, Tulsa, OK 74133-3157 | 2012-07-11 |
1629343025 | Braincare, LLC | Physiological Laboratory | 7633 E 63rd Pl, Ste 300, Unit 309, Tulsa, OK 74133-1273 | 2012-03-19 |
1306895701 | Diagnostic Health Corporation | Physiological Laboratory | 6757 S Yale Ave, Tulsa, OK 74136-3302 | 2006-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962015818 | Genesiscare Landmark Imaging PC | Physiological Laboratory | 111 Harrison Ave Ste 104, Oklahoma City, OK 73104-1819 | 2020-08-28 |
1043780042 | Touchstone Imaging of Oklahoma, LLC | Physiological Laboratory | 3500 Nw 56th St Ste 105, Oklahoma City, OK 73112-4517 | 2018-12-03 |
1417465220 | Touchstone Imaging of Oklahoma, LLC | Physiological Laboratory | 3000 N Main St Ste 100, Altus, OK 73521-1350 | 2018-01-15 |
1043733108 | Touchstone Imaging of Oklahoma, LLC | Physiological Laboratory | 1909 W 6th Ave Ste A, Stillwater, OK 74074-4204 | 2017-07-20 |
1083137145 | Touchstone Imaging of Oklahoma, LLC | Physiological Laboratory | 4160 Se Adams Rd Ste 101, Bartlesville, OK 74006-8452 | 2017-07-20 |
1396268454 | Touchstone Imaging of Oklahoma, LLC | Physiological Laboratory | 1751 Garth Brooks Blvd Ste 105, Yukon, OK 73099-6349 | 2017-07-20 |
1477076891 | Touchstone Imaging of Oklahoma, LLC | Physiological Laboratory | 712 Wall St, Norman, OK 73069-6360 | 2017-07-18 |
1902328727 | Southeast Imaging, LLC | Physiological Laboratory | 111 Forest Ave., Suite C, Eufaula, OK 74432 | 2017-07-13 |
1386166262 | Touchstone Imaging of Oklahoma, LLC | Physiological Laboratory | 13616 E 103rd St N Ste C, Owasso, OK 74055-4592 | 2017-07-12 |
1841443439 | Discovery Diagnostics, LLC | Physiological Laboratory | 2626 Denver St, Muskogee, OK 74401-5334 | 2008-10-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.