SOUTHWEST IMAGING CENTER INC NPI 1285637017

NPI Information

  • NPI: 1285637017
  • Provider Name: SOUTHWEST IMAGING CENTER INC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Former Legal Business Name: THE IMAGING CENTER
  • CLIA Number: 37D2299535
  • Address: 5116 W GORE BLVD
    STE 1
    LAWTON, OK
    ZIP 73505
  • Phone: (580) 353-7226

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NPI Details

SOUTHWEST IMAGING CENTER INC is a diagnostic radiology radiology in Lawton, OK. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SOUTHWEST IMAGING CENTER INC NPI is 1285637017. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is The Imaging Center.

The provider's business location address is:

5116 W GORE BLVD
STE 1
LAWTON, OK
ZIP 73505-909
Phone: (580) 353-7226
Fax: (580) 353-7297

The provider's authorized official is Kimberly Lynn Ketcher .
The authorized official title is Billing Office Managaer and has the following contact phone number (580) 353-7226.

The CLIA number assigned to this NPI record is 37D2299535 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 8/20/2008.

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 Radiology700560OKLAHOMAYes

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
1=========MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMATHE IMAGING CENTER
2=========MEDICARE PIN
3100744930AMEDICAIDOKLAHOMA

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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