# OPEN-SIDED MRI OF BARTLESVILLE , LLC

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

## Provider details

- **NPI number:** 1558487108
- **Authorized official:** WEYTON WING-HO TAM MD (MANAGING PARTNER)
- **Authorized official phone:** (918) 333-9674

## Contact information

- **Practice address:** 4160 SE ADAMS RD, BLDG B, BARTLESVILLE, OK 74006-8410
- **Practice address phone:** (918) 333-9674
- **Practice address fax:** (918) 333-9675
- **Mailing address:** PO BOX 25016, OKLAHOMA CITY, OK 73125-0016
- **Mailing address phone:** (918) 333-9674
- **Mailing address fax:** (918) 333-9675

## Taxonomy

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

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 08/22/2020