DIAGNOSTIC RADIOLOGY NPI 1073565115

NPI Information

  • NPI: 1073565115
  • Provider Name: DIAGNOSTIC RADIOLOGY
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 902 S BRYANT AVE
    EDMOND, OK
    ZIP 73034
  • Phone: (405) 348-1900

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NPI Details

DIAGNOSTIC RADIOLOGY is a diagnostic radiology radiology in Edmond, OK. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DIAGNOSTIC RADIOLOGY NPI is 1073565115. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

902 S BRYANT AVE
EDMOND, OK
ZIP 73034-742
Phone: (405) 348-1900
Fax: (405) 348-0423

The provider's authorized official is Becky M Jackson .
The authorized official title is Billing Office Manager and has the following contact phone number (405) 348-1900.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 9/20/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WCDHV1MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMA
2100734560AMEDICAIDOKLAHOMA
3=========001OTHEROKLAHOMABLUE CROSS BLUE SHIELD

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: 11/21/2025

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