National Provider Identifier Database

OPEN SIDED MRI OF BARTLESVILLE LLC
Magnetic Resonance Imaging (MRI)


Contact Information

OPEN-SIDED MRI OF BARTLESVILLE , LLC
4160 SE ADAMS RD
BLDG B
BARTLESVILLE, OK74006-8410
Phone: 918-333-9674
Fax: 918-333-9675
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for OPEN-SIDED MRI OF BARTLESVILLE , LLC

NPI Number 1558487108
Legal business name
LBN
OPEN-SIDED MRI OF BARTLESVILLE , LLC
Authorized official WEYTON TAM - (MANAGING PARTNER)
Entity Organization
Organization subpart No
Enumeration date 03/22/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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