National Provider Identifier Database

A I ADVANCE IMAGING OF TULSA LLC
Diagnostic Radiology

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


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
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for A I ADVANCE IMAGING OF TULSA LLC

NPI Number 1265561575
Legal business name
LBN
A I ADVANCE IMAGING OF TULSA LLC
Authorized official STEVEN MCCORMACK - (SOLE MEMBER)
Entity Organization
Organization subpart No
Enumeration date 03/04/2007
Last updated 04/20/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 200123150A

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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