Organization
MCI DIAGNOSTIC CENTER, LLC
Active
Other names
MCI Diagnostic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN J PAYNE R.T. (DIRECTOR)
(469) 485-2382
Entity
Organization
Contact information
Practice address
1155 KAS DR STE 180, RICHARDSON, TX 75081-1970
(469) 485-2382
(918) 744-9729
Mailing address
7018 S UTICA AVE, TULSA, OK 74136-3907
(918) 744-1001
(918) 744-9729
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
2-S-2821
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200031560B
—
OK
Enumeration date
10/27/2006
Last updated
03/22/2022
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