National Provider Identifier Database

TULSA DIAGNOSTIC IMAGING
Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.


Contact Information

TULSA DIAGNOSTIC IMAGING
6046 SOUTH SHERIDAN ROAD
TULSA, OK74145
Phone: 918-499-1674
Fax: 918-499-1675
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for TULSA DIAGNOSTIC IMAGING

NPI Number 1063512275
Legal business name
LBN
TULSA DIAGNOSTIC IMAGING
Authorized official BAMBI FRITZ - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/25/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 20003777A
  • Other: P00276821 RAILROAD MEDICARE

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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