Organization
MOBILE CARDIAC IMAGING, LLC
Active
Parent organization
MCI DIAGNOSTIC CENTER
Other names
MCI Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCI DIAGNOSTIC CENTER
Authorized official
COLLEEN JENETH PAYNE (OWNER)
(918) 744-1001
Entity
Organization
Contact information
Practice address
7018 S UTICA AVE, TULSA, OK 74136-3907
(918) 744-1001
(918) 744-9729
Mailing address
7018 S UTICA AVE, TULSA, OK 74136-3907
(918) 744-1001
(918) 744-9729
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
3567
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200031560B
—
OK
05
—
200222370A
—
OK
Enumeration date
06/05/2006
Last updated
08/25/2010
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