OKLAHOMA MOBILE LITHOTRIPTER ASSOCIATES L.C. NPI 1639618754

NPI Information

  • NPI: 1639618754
  • Provider Name: OKLAHOMA MOBILE LITHOTRIPTER ASSOCIATES, L.C.
  • Classification: Clinic/Center - 261QL0400X
  • Specialization: Lithotripsy
  • Entity Type: Organization
  • CLIA Number: 37D1039286
  • Address: 5401 N PORTLAND AVE
    SUITE 640
    OKLAHOMA CITY, OK
    ZIP 73112
  • Phone: (405) 604-4160

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NPI Details

OKLAHOMA MOBILE LITHOTRIPTER ASSOCIATES, L.C. is a lithotripsy clinic center in Oklahoma City, OK. OKLAHOMA MOBILE LITHOTRIPTER ASSOCIATES, L.C. NPI is 1639618754. The provider is registered as an organization entity type.

The provider's business location address is:

5401 N PORTLAND AVE
SUITE 640
OKLAHOMA CITY, OK
ZIP 73112-121
Phone: (405) 604-4160
Fax: (405) 604-4053

The provider's authorized official is Stewart Burchett .
The authorized official title is Executive Director and has the following contact phone number (405) 604-4160.

The CLIA number assigned to this NPI record is 37D1039286 - blood bank with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2017 and was last updated on 2/22/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QL0400XClinic/CenterLithotripsyYes

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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