OKLAHOMA PET CENTER LLC NPI 1477739662

NPI Information

  • NPI: 1477739662
  • Provider Name: OKLAHOMA PET CENTER LLC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Address: 5401 N PORTLAND AVE
    330
    OKLAHOMA CITY, OK
    ZIP 73112
  • Phone: (405) 604-4439

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NPI Details

OKLAHOMA PET CENTER LLC is a radiology clinic center in Oklahoma City, OK. OKLAHOMA PET CENTER LLC NPI is 1477739662. The provider is registered as an organization entity type.

The provider's business location address is:

5401 N PORTLAND AVE
330
OKLAHOMA CITY, OK
ZIP 73112-121
Phone: (405) 604-4439

The provider's authorized official is George N Chacko .
The authorized official title is President and has the following contact phone number (405) 604-4439.

The enumeration date for this NPI number is 1/17/2008 and was last updated on 1/17/2008.

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
1261QR0200XClinic/CenterRadiologyYes

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
1569959716001OTHEROKLAHOMABCBS

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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