National Provider Identifier Database

PONCA CITY OPEN MRI LLC
Magnetic Resonance Imaging Radiologic Technologist

A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care.


Contact Information

PONCA CITY OPEN MRI, LLC
2112 N 14TH ST
PONCA CITY, OK74601-1829
Phone: 580-762-6740
Fax: 580-762-9627
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging Radiologic Technologist 2471M1202X

* Indicates primary specialty

NPI Profile & details for PONCA CITY OPEN MRI, LLC

NPI Number 1912983719
Legal business name
LBN
PONCA CITY OPEN MRI, LLC
Authorized official CLINTON LOCKE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/22/2005
Last updated 02/01/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • KS Medicaid: 7187533301
  • OK Medicaid: 100836750A

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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