EDMOND MRI LLC NPI 1790746956

NPI Information

  • NPI: 1790746956
  • Provider Name: EDMOND MRI LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: RENAISSANCE MRI
  • Address: 1705 RENAISSANCE BLVD
    SUITE 135
    EDMOND, OK
    ZIP 73013
  • Phone: (580) 234-2878

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NPI Details

EDMOND MRI LLC is a diagnostic radiology radiology in Edmond, OK. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. EDMOND MRI LLC NPI is 1790746956. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Renaissance Mri.

The provider's business location address is:

1705 RENAISSANCE BLVD
SUITE 135
EDMOND, OK
ZIP 73013-022
Phone: (580) 234-2878

The provider's authorized official is Philip Malone .
The authorized official title is Operations Manager and has the following contact phone number (405) 321-8125.

The enumeration date for this NPI number is 3/29/2006 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
12085R0202XRadiologyDiagnostic RadiologyYes

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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