Organization
UTICA SERVICES INC.
Active
Parent organization
UTICA SERVICES INC.
Other names
Regional Radiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
UTICA SERVICES INC.
Authorized official
SR. M. THERESE GOTTSCHALK (PRESIDENT/CEO ST. JOHN HEALTH SYSTE)
(918) 744-2180
Entity
Organization
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2180
Mailing address
1923 S UTICA AVE, DEPARTMENT 2296, TULSA, OK 74182-0001
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093011354-001
BCBS
OK
01
—
093012353-001
BCBS
OK
01
—
731131608001
BCBS
OK
Enumeration date
06/15/2006
Last updated
04/20/2008
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