Organization
CHERRY STREET MRI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH CARNEY (VP OF OPERATIONS)
(918) 496-5264
Entity
Organization
Contact information
Practice address
1826 E 15TH ST, SUITE A, TULSA, OK 74104-4611
(918) 496-5000
Mailing address
PO BOX 100, DEPT 404, BIXBY, OK 74008-0100
(918) 293-1700
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100745270A
—
OK
Enumeration date
05/22/2006
Last updated
11/15/2013
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