Organization
QUALITY MEDICAL IMAGING OF OKLAHOMA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER C FASELT (PRESIDENT)
(702) 839-1133
Entity
Organization
Contact information
Practice address
201 SHADY CREEK RD STE 115, DURANT, OK 74701-2412
(580) 634-7600
Mailing address
2490 PROFESSIONAL CT STE 110, LAS VEGAS, NV 89128-0835
(702) 839-1133
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
08/10/2020
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