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Organization
OKLAHOMA DIAGNOSTIC IMAGING LTD
Active
Organization
OKLAHOMA DIAGNOSTIC IMAGING LTD
Active
Other names
Oklahoma Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA Z NUSSBAUM (CHIEF FINANCIAL OFFICER)
(405) 775-4227
Entity
Organization
Contact information
Practice address
236 NW 62ND ST, OKLAHOMA CITY, OK 73118-7422
(405) 843-0520
(405) 840-5419
Mailing address
236 NW 62ND ST, OKLAHOMA CITY, OK 73118-7422
(405) 775-4301
(405) 841-9345
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200038800A
—
OK
Enumeration date
12/20/2005
Last updated
04/01/2009
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