National Provider Identifier Database

RADIOLOGY SERVICES OF ARDMORE INC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


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
* Diagnostic Radiology 2085R0202X
Diagnostic Ultrasound 2085U0001X
Nuclear Radiology 2085N0904X

* Indicates primary specialty

NPI Profile & details for RADIOLOGY SERVICES OF ARDMORE, INC.

NPI Number 1124123963
Legal business name
LBN
RADIOLOGY SERVICES OF ARDMORE, INC.
Authorized official JULIE DIBRELL-GARCIA - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 09/14/2006
Last updated 07/17/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 100730410A

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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