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Organization
MK DIAGNOSTIC ULTRASOUNDS LLC
Active
Organization
MK DIAGNOSTIC ULTRASOUNDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCADES KOLOSHA RDMS (OWNER)
(918) 574-1134
Entity
Organization
Contact information
Practice address
8400 S. KALANCHOE AVE., BROKEN ARROW, OK 74011
(918) 574-1134
Mailing address
8400 S. KALANCHOE AVE., BROKEN ARROW, OK 74011
(918) 574-1134
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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