SOUTH TULSA OPEN MRI LLC NPI 1740208842

NPI Information

NPI: 1740208842
Provider Name: SOUTH TULSA OPEN MRI, LLC
Classification: Clinic/Center - 261QM1200X
Specialization: Magnetic Resonance Imaging (MRI)
Entity Type: Organization
Doing Business As: VANTAGE DIAGNOSTIC IMAGING OF TULSA
Address: 7712 S YALE AVE
SUITE 100
TULSA, OK
ZIP 74136
Phone: (918) 523-7226

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NPI Details

SOUTH TULSA OPEN MRI, LLC is a magnetic resonance imaging (mri) clinic center in Tulsa, OK. SOUTH TULSA OPEN MRI, LLC NPI is 1740208842. The provider is registered as an organization entity type.
The provider Is Doing Business As Vantage Diagnostic Imaging Of Tulsa.

The provider's business location address is:

7712 S YALE AVE
SUITE 100
TULSA, OK
ZIP 74136-332
Phone: (918) 523-7226
Fax: (918) 523-7227

The provider's authorized official is Sherry L. Nofziger .
The authorized official title is Director Of Operation and has the following contact phone number (405) 703-4500.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 10/3/2018.

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	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)		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	200052730B	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: 11/21/2025

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