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Contact Information

MUSKOGEE DIAGNOSTIC IMAGING
3300 CHANDLER RD
SUITE 104
MUSKOGEE, OK74403-4909
 Phone: 918-684-7226
 Fax: 918-684-7227
 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 DIAGNOSTIC IMAGING

NPI Number 1861405847
LBN Legal business name MUSKOGEE DIAGNOSTIC IMAGING
Authorized official TIMOTHY ROBISON - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/14/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
OK License # 700971
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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