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Contact Information

A I ADVANCE IMAGING OF TULSA LLC
6757 S YALE AVE
TULSA, OK74136-3302
 Phone: 918-523-0002
 Fax: 918-523-0030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for A I ADVANCE IMAGING OF TULSA LLC · (Female)

NPI Number 1265561575
Status Active
Credentials
Entity Individual
Enumeration date 03/04/2007
Last updated 04/20/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 200123150A
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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