# OKLAHOMA LITHOTRIPTER ASSOCIATES, L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oklahoma Kidney Stone Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750597449
- **Authorized official:** STEWART C BURCHETT (EXECUTIVE DIR)
- **Authorized official phone:** (405) 604-4183

## Contact information

- **Practice address:** 5401 N PORTLAND AVE STE 650, OKLAHOMA CITY, OK 73112-2081
- **Practice address phone:** (405) 604-4160
- **Practice address fax:** (405) 604-4053
- **Mailing address:** 5401 N PORTLAND AVE STE 640, OKLAHOMA CITY, OK 73112-2130
- **Mailing address phone:** (405) 604-4160
- **Mailing address fax:** (405) 604-4053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0086 | OK | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 07/21/2022