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Organization
ADA MRI ASSOCIATES, L.L.C.
Active
Organization
ADA MRI ASSOCIATES, L.L.C.
Active
Other names
Ada Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY WAYNE WICKERSHAM (VP OF OPERATIONS)
(405) 418-2200
Entity
Organization
Contact information
Practice address
435 N MONTE VISTA ST, SUITE B, ADA, OK 74820-4609
(580) 332-0400
(580) 332-4269
Mailing address
435 N MONTE VISTA ST, SUITE B, ADA, OK 74820-4609
(580) 332-0400
(580) 332-4269
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
OK
Other
Enumeration date
06/20/2006
Last updated
08/22/2020
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