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Organization

MOBILE CARDIAC IMAGING , LLC

Active
Other names
MCI Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
COLLEEN J. PAYNE (PRESIDENT)
(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
261QP2000X
Physical Therapy Clinic/Center
Primary
3567
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200222370A
OK
05
20031560B
OK
Enumeration date
08/10/2010
Last updated
08/10/2010
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