Organization
TULSA DIAGNOSTIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BAMBI BARBARAANN FRITZ (EXECUTIVE DIRECTOR)
(918) 499-1674
Entity
Organization
Contact information
Practice address
6046 SOUTH SHERIDAN ROAD, TULSA, OK 74145
(918) 499-1674
(918) 499-1675
Mailing address
PO BOX 54194, TULSA, OK 74155-0194
(918) 499-1674
(918) 499-1675
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20003777A
—
OK
01
—
P00276821
RAILROAD MEDICARE
—
Enumeration date
09/25/2006
Last updated
08/22/2020
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