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MUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC NPI 1629020995


NPI Information

NPI: 1629020995
Provider Name: MUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

CLIA Number: 37D2067270

Address:
1023 WATERWOOD PKWY
EDMOND, OK
ZIP 73034
Phone: (405) 601-2325
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MUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC is a vascular and interventional radiology radiology in Edmond, OK. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. MUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC NPI is 1629020995. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1023 WATERWOOD PKWY
EDMOND, OK
ZIP 73034-324
Phone: (405) 601-2325
Fax: (405) 497-6074

The provider's authorized official is Douglas Beall .
The authorized official title is Radiologist and has the following contact phone number (405) 601-2325.

The CLIA number assigned to this NPI record is 37D2067270 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 3/12/2024.


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
12085R0204XRadiologyVascular & Interventional 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200069440AMEDICAIDOKLAHOMA

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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