Organization
FLAGLER DIAGNOSTIC IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY A TRETHEWAY CPCS, CHBME (CHIEF OPERATING OFFICER)
(405) 858-2350
Entity
Organization
Contact information
Practice address
10 B FLORIDA PARK DRIVE, PALM COAST, FL 32135
(386) 445-3355
(386) 445-8999
Mailing address
2224 NW 50TH ST, SUITE 276W, OKLAHOMA CITY, OK 73112-8046
(405) 858-2350
(405) 858-2365
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2006
Last updated
06/19/2008
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