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Organization
CARDIOVASCULAR IMPRESSIONS OF TULSA INC
Active
Organization
CARDIOVASCULAR IMPRESSIONS OF TULSA INC
Active
Other names
Cardio Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM WINERS (PRESIDENT)
(918) 492-6640
Entity
Organization
Contact information
Practice address
2121 S COLUMBIA AVE, SUITE 104, TULSA, OK 74114-3505
(918) 712-7799
(918) 712-8359
Mailing address
PO BOX 26243, OKLAHOMA CITY, OK 73126-0243
(918) 745-2299
(918) 745-2313
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100758740D
—
OK
Enumeration date
05/24/2006
Last updated
01/13/2009
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