MUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC NPI 1821940107

NPI Information

  • NPI: 1821940107
  • Provider Name: MUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • Address: 1023 WATERWOOD PKWY
    EDMOND, OK
    ZIP 73034
  • Phone: (405) 227-7479

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NPI Details

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 1821940107. 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) 227-7479

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

The enumeration date for this NPI number is 2/10/2026 and was last updated on 2/10/2026.

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
12085R0204XRadiologyVascular & Interventional RadiologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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