# SOUTHERN OKLAHOMA DIAGNOSTIC CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Open MRI of Southern Oklahoma
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114021284
- **Authorized official:** HAYDEN D HENRY MD (BOARD PRESIDENT)
- **Authorized official phone:** (580) 226-8310

## Contact information

- **Practice address:** 1111 WALNUT, ARDMORE, OK 73401
- **Practice address phone:** (580) 226-1674
- **Practice address fax:** (580) 226-9674
- **Mailing address:** 1111 WALNUT DR, ARDMORE, OK 73401-2354
- **Mailing address phone:** (580) 226-1674
- **Mailing address fax:** (580) 226-9674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 01/16/2013