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Contact Information

MUSKOGEE PET AND NUCLEAR IMAGING
3300 CHANDLER RD
SUITE #106
MUSKOGEE, OK74403-4909
 Phone: 918-686-7382
 Fax: 918-686-7995
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for MUSKOGEE PET AND NUCLEAR IMAGING

NPI Number 1194704494
LBN Legal business name MUSKOGEE PET AND NUCLEAR IMAGING
Authorized official TIMOTHY ROBISON - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/13/2006
Last updated 04/20/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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