# SOONER MOBILE X-RAY, INC.

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

## Provider details

- **NPI number:** 1578703930
- **Authorized official:** PAUL D SCOTT (PRESIDENT/OWNER)
- **Authorized official phone:** (580) 475-9729

## Contact information

- **Practice address:** 944 W WILLOW AVE, DUNCAN, OK 73533-4922
- **Practice address phone:** (580) 475-9729
- **Practice address fax:** (580) 475-9728
- **Mailing address:** PO BOX 188, DUNCAN, OK 73534-0188
- **Mailing address phone:** (580) 475-9729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | 237277 | OK | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 02/25/2009
- **Last updated:** 05/26/2021