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Contact Information

RADIOLOGY SERVICES OF ARDMORE, INC.
1011 14TH AVE NW
ARDMORE, OK73401-1828
 Phone: 479-452-9416
 Fax: 479-484-0827
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

Nuclear Radiology

2085N0904X
Indicates primary specialty

NPI Profile & details for RADIOLOGY SERVICES OF ARDMORE INC · (Female)

NPI Number 1124123963
Status Active
Credentials
Entity Individual
Enumeration date 09/14/2006
Last updated 07/17/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 100730410A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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