SOUTHWEST IMAGING CENTER INC NPI 1285637017

NPI Information

NPI: 1285637017
Provider Name: SOUTHWEST IMAGING CENTER INC

Former Legal Business Name: THE IMAGING CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
5116 W GORE BLVD
STE 1
LAWTON, OK
ZIP 73505
Phone: (580) 353-7226
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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 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
1	2085R0202X	Radiology	Diagnostic Radiology	700560	OKLAHOMA	Yes

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 UNSPECIFIED	OKLAHOMA	THE IMAGING CENTER
2	=========	MEDICARE PIN
3	100744930A	MEDICAID	OKLAHOMA

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: 11/14/2023

NPI Synchronization or Removal

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