Organization
SOUTH TULSA OPEN MRI, LLC
Active
Other names
Vantage Diagnostic Imaging of Tulsa
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY L. NOFZIGER (DIRECTOR OF OPERATION)
(405) 703-4500
Entity
Organization
Contact information
Practice address
7712 S YALE AVE, SUITE 100, TULSA, OK 74136-8332
(918) 523-7226
(918) 523-7227
Mailing address
5909 NW EXPRESSWAY STE 300, OKLAHOMA CITY, OK 73132-5103
(405) 703-4500
(405) 703-4501
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200052730B
—
OK
Enumeration date
07/17/2006
Last updated
10/03/2018
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