Organization
ZOOM DIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERMAINE ANDRE WADE (PRESIDENT)
(972) 816-5813
Entity
Organization
Contact information
Practice address
1113 WEST CHERRY AVE, ENID, OK 73703
(580) 540-3244
(580) 308-1023
Mailing address
1113 W CHERRY AVE, ENID, OK 73703-3320
(580) 540-3244
(580) 308-1023
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2017
Last updated
03/07/2020
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