Organization
CARDIOVASCULAR IMPRESSIONS OF TULSA INC
Active
Other names
Cardio Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM WINERS (PRESIDENT)
(918) 492-6640
Entity
Organization
Contact information
Practice address
2121 S COLUMBIA AVE, SUITE 104, TULSA, OK 74114-3505
(918) 712-7799
(918) 712-8359
Mailing address
PO BOX 26243, OKLAHOMA CITY, OK 73126-0243
(918) 745-2299
(918) 745-2313
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100758740D
—
OK
Enumeration date
05/24/2006
Last updated
01/13/2009
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