National Provider Identifier Database

SOUTH TULSA OPEN MRI LLC
Magnetic Resonance Imaging (MRI)


Contact Information

SOUTH TULSA OPEN MRI, LLC
7712 S YALE AVE
SUITE 100
TULSA, OK74136-8332
Phone: 918-523-7226
Fax: 918-523-7227
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for SOUTH TULSA OPEN MRI, LLC

NPI Number 1740208842
Legal business name
LBN
SOUTH TULSA OPEN MRI, LLC
Authorized official SHERRY NOFZIGER - (DIRECTOR OF OPERATION)
Entity Organization
Organization subpart No
Enumeration date 07/17/2006
Last updated 10/03/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 200052730B

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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