Organization
COMPREHENSIVE DIAGNOSTIC IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE JILL HAST M.D, (OWNER)
(405) 255-4518
Entity
Organization
Contact information
Practice address
5800 NORTH PORTLAND AVENUE, OKLAHOMA CITY, OK 73112
(405) 601-4500
Mailing address
5800 NORTH PORTLAND AVENUE, OKLAHOMA CITY, OK 73112
(405) 601-4500
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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