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BREAST IMAGING OF OKLAHOMA LLC NPI 1588734925


NPI Information

NPI: 1588734925
Provider Name: BREAST IMAGING OF OKLAHOMA, LLC

Other Name: BREAST IMAGING OF OKLAHOMA

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2601 KELLEY POINTE PKWY STE 101
EDMOND, OK
ZIP 73013
Phone: (405) 705-2712
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BREAST IMAGING OF OKLAHOMA, LLC is a specialist in Edmond, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BREAST IMAGING OF OKLAHOMA, LLC NPI is 1588734925. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Breast Imaging Of Oklahoma.

The provider's business location address is:

2601 KELLEY POINTE PKWY STE 101
EDMOND, OK
ZIP 73013-996
Phone: (405) 705-2712
Fax: (405) 844-2610

The provider's authorized official is Vicki Lynn Wynn .
The authorized official title is Controller and has the following contact phone number (405) 705-2712.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistOKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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