Organization
ADA MRI ASSOCIATES, L.L.C.
Active
Other names
Ada Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY WAYNE WICKERSHAM (VP OF OPERATIONS)
(405) 418-2200
Entity
Organization
Contact information
Practice address
435 N MONTE VISTA ST, SUITE B, ADA, OK 74820-4609
(580) 332-0400
(580) 332-4269
Mailing address
435 N MONTE VISTA ST, SUITE B, ADA, OK 74820-4609
(580) 332-0400
(580) 332-4269
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
OK
Other
Enumeration date
06/20/2006
Last updated
08/22/2020
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