Organization
LIBERTY DIAGNOSTIC IMAGING OF OKC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT M TRENT (OWNER)
(405) 348-7676
Entity
Organization
Contact information
Practice address
4001 NW EXPRESSWAY ST, OKLAHOMA CITY, OK 73116-1686
(405) 348-7676
(405) 348-9966
Mailing address
700 W 15TH ST STE 11, EDMOND, OK 73013-3749
(405) 348-7676
(405) 348-9966
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
OK
Other
Enumeration date
01/11/2008
Last updated
07/21/2022
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