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Contact Information

GENESISCARE LANDMARK IMAGING PC
3300 CHANDLER RD STE 106
MUSKOGEE, OK74403-4909
 Phone: 918-686-7382
 Fax: 918-686-0554
 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 GENESISCARE LANDMARK IMAGING PC

NPI # 1932793007
LBN Legal business name GENESISCARE LANDMARK IMAGING PC
Authorized official JEFFREY TRIPLETTE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2021
Last updated 03/15/2021 - About 5 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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