MCALESTER IMAGING ASSOCIATES LLC NPI 1760411540

NPI Information

NPI: 1760411540
Provider Name: MCALESTER IMAGING ASSOCIATES LLC

Doing Business As: MCALESTER DIAGNOSTIC IMAGING

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
10 S 3RD ST
SUITE 100
MCALESTER, OK
ZIP 74501
Phone: (918) 426-5656
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MCALESTER IMAGING ASSOCIATES LLC is a radiology clinic center in Mcalester, OK. MCALESTER IMAGING ASSOCIATES LLC NPI is 1760411540. The provider is registered as an organization entity type.
The provider Is Doing Business As Mcalester Diagnostic Imaging.

The provider's business location address is:

10 S 3RD ST
SUITE 100
MCALESTER, OK
ZIP 74501-319
Phone: (918) 426-5656
Fax: (918) 426-5757

The provider's authorized official is Randy Wayne Wickersham .
The authorized official title is Vp Of Operations and has the following contact phone number (405) 418-2200.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 8/22/2020.

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	261QR0200X	Clinic/Center	Radiology		OKLAHOMA	Yes

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: 5/5/2024

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