Organization
E PLUS PET IMAGING VI LP
Active
Other names
PET Imaging of Tulsa
Organization subpart
No
Provider details
NPI number
Authorized official
AURELIA N PICAZIO (VP, MANAGED CARE CONTRACTING)
(615) 783-1091
Entity
Organization
Contact information
Practice address
6711 S YALE AVE, SUITE 104, TULSA, OK 74136-3313
(918) 523-7200
(918) 523-7201
Mailing address
6711 S YALE AVE STE 104, TULSA, OK 74136-3317
(918) 523-7200
(918) 523-7201
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20013450B
—
OK
01
—
P00084332
RRMEDICARE
—
Enumeration date
05/18/2006
Last updated
11/07/2025
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