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SPECTRUM IMAGING PLLC NPI 1275837379


NPI Information

NPI: 1275837379
Provider Name: SPECTRUM IMAGING PLLC

Former Legal Business Name: IMAGING SERVICES OF OKLAHOMA PLLC

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
300 ROCKEFELLER DR
MUSKOGEE, OK
ZIP 74401
Phone: (918) 684-2189
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SPECTRUM IMAGING PLLC is a diagnostic radiology radiology in Muskogee, OK. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SPECTRUM IMAGING PLLC NPI is 1275837379. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Imaging Services Of Oklahoma Pllc.

The provider's business location address is:

300 ROCKEFELLER DR
MUSKOGEE, OK
ZIP 74401-075
Phone: (918) 684-2189

The provider's authorized official is Kerry A Tretheway .
The authorized official title is Manager and has the following contact phone number (405) 486-7250.

The enumeration date for this NPI number is 1/4/2011 and was last updated on 3/15/2017.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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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