Organization
INCONTROL IMAGING MOORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BURRIS (PRESIDENT / OWNER)
(317) 796-0157
Entity
Organization
Contact information
Practice address
1112 SW 30TH CT STE 101, MOORE, OK 73160-2888
(405) 645-7718
Mailing address
1112 SW 30TH CT STE 101, MOORE, OK 73160-2888
(405) 645-7718
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/14/2025
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