OKLAHOMA DIAGNOSTIC IMAGING LTD (NPI# 1326024571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326024571 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA DIAGNOSTIC IMAGING LTD |
| Other Organization Name | OKLAHOMA DIAGNOSTIC IMAGING |
| Practice Address |
236 Nw 62nd St Oklahoma City OK 73118-7422 |
| Practice Telephone | 4058430520 |
| Practice Fax Number | 4058405419 |
| Mailing Telephone | 4057754301 |
| Mailing Fax Number | 4058419345 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2009-04-01 |
| Authorized Official Name | MS. DEBRA Z NUSSBAUM (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4057754227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200038800A | 05 |
| Other Name | Type Code |
|---|---|
| Oklahoma Diagnostic Imaging | Doing Business As Name - Organization |
| Street Address |
236 NW 62ND ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73118-7422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447443478 | Bradley Keith Lamprich | Radiology | 236 Nw 62nd St, Oklahoma City, OK 73118-7422 | 2007-08-23 |
| 1467421586 | Charles J Dunn | Radiology | 236 Nw 62nd St, Oklahoma City, OK 73118-7422 | 2006-03-14 |
| 1467420745 | Aron M Judkiewicz | Radiology | 236 Nw 62nd St, Oklahoma City, OK 73118-7422 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812772 | Karrie Danea Moreno | Behavior Technician | 1507 Ne 31st, Oklahoma, OK 73118 | 2018-08-23 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1225556228 | Anika Carr | Case Manager/Care Coordinator | 1212 Nw 32nd Street, Oklahoma City, OK 73118 | 2017-08-30 |
| 1740635168 | Nikhil Malhotra | Internal Medicine | 3635 Vista Avenue At Grand Boulevard, 14th Floor, Desloge Towers, St. Louis, MO 73118 | 2016-05-04 |
| 1144694183 | Christopher Woon | Counselor | 4001 N Classen, Suite 105, Oklahoma City, OK 73118 | 2015-11-13 |
| 1699181925 | Stac Embry | Counselor | 3321 N. Mckinley Ave, Oklahoma City, OK 73118 | 2014-07-08 |
| 1194161216 | Jennifer Kaye Powers | Counselor | 3124 N. Classen Blvd., Ste. A, Oklahoma City, OK 73118 | 2013-05-15 |
| 1932445491 | Jessica Camp | Behavioral Analyst | 3220 N Harvey Pkwy, Oklahoma City, OK 73118 | 2013-01-02 |
| 1942578661 | Michael D Danielson | Behavioral Analyst | 4232 N Sante Fe Ave, Oklahoma City, OK 73118 | 2011-12-08 |
| 1912280587 | Tara Roberts | Counselor | 1743 Nw 37th, Oklahoma City, OK 73118 | 2011-09-21 |
| Find all providers in zip 73118 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962768143 | Comprehensive Diagnostic Imaging, LLC | Clinic/Center | 5800 North Portland Avenue, Oklahoma City, OK 73112 | 2012-04-02 |
| 1770751281 | Hefner Ct Associates | Clinic/Center | 3400 West Hefner Road, Oklahoma City, OK 73120 | 2008-02-19 |
| 1174552947 | Ct Associates No. 1, L.L.C. | Clinic/Center | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2006-07-02 |
| 1114962420 | Therasolutions, Inc. | Clinic/Center | 5900 Mosteller Dr, Suite 150, Oklahoma City, OK 73112-4600 | 2006-06-19 |
| 1528011681 | E Plus Pet Imaging Iv Lp | Clinic/Center | 111 Harrison Ave, Suite 104, Oklahoma City, OK 73104-1817 | 2006-05-18 |
| 1881127017 | Integris Prohealth, Inc | Clinic/Center | 3366 Nw Expressway, Suite #140, Oklahoma City, OK 73112-4462 | 2017-04-05 |
| 1710338066 | Metro Imaging Partners LLC | Clinic/Center | 3400 W Hefner Rd, Oklahoma City, OK 73120-5083 | 2016-06-28 |
| 1689950180 | Diagnostic Imaging Solutions | Clinic/Center | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2011-10-27 |
| 1588940084 | Comps Medical | Clinic/Center | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2011-10-27 |
| 1124300512 | Ssm Healthcare of Ok, Inc | Clinic/Center | 1000 N Lee Ave, 4th Floor, Oklahoma City, OK 73102-1036 | 2011-09-13 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73118 |
Please comment or provide details below to improve the information on OKLAHOMA DIAGNOSTIC IMAGING LTD.
| 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.