# IMPACT IMAGING, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154431625
- **Authorized official:** MR. MARK ALAN MARSEE (OPERATIONS MANAGER)
- **Authorized official phone:** (405) 677-6121

## Contact information

- **Practice address:** 207 BRYANT PL, DEL CITY, OK 73115-1001
- **Practice address phone:** (405) 677-6121
- **Practice address fax:** (405) 573-3263
- **Mailing address:** 207 BRYANT PL, DEL CITY, OK 73115-1001
- **Mailing address phone:** (405) 677-6121
- **Mailing address fax:** (405) 573-3263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | OK2749701 | OK | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020