Organization
CT ASSOCIATES NO. 1, L.L.C.
Active
Other names
SouthPointe Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY WAYNE WICKERSHAM (VP OF OPERATIONS)
(405) 418-2200
Entity
Organization
Contact information
Practice address
10317 GREENBRIAR PKWY, OKLAHOMA CITY, OK 73159-7648
(405) 692-7226
(405) 692-2371
Mailing address
10317 GREENBRIAR PKWY, OKLAHOMA CITY, OK 73159-7648
(405) 692-7226
(405) 692-2371
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
OK
Other
Enumeration date
07/02/2006
Last updated
08/22/2020
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