# SOUTH TULSA OPEN MRI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vantage Diagnostic Imaging of Tulsa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740208842
- **Authorized official:** SHERRY L. NOFZIGER (DIRECTOR OF OPERATION)
- **Authorized official phone:** (405) 703-4500

## Contact information

- **Practice address:** 7712 S YALE AVE, SUITE 100, TULSA, OK 74136-8332
- **Practice address phone:** (918) 523-7226
- **Practice address fax:** (918) 523-7227
- **Mailing address:** 5909 NW EXPRESSWAY STE 300, OKLAHOMA CITY, OK 73132-5103
- **Mailing address phone:** (405) 703-4500
- **Mailing address fax:** (405) 703-4501

## Taxonomy

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

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 10/03/2018