Healthcare Provider Details

I. General information

NPI: 1780636142
Provider Name (Legal Business Name): NORMAN IMAGING ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3750 W ROBINSON ST
NORMAN OK
73072-3654
US

IV. Provider business mailing address

3750 W. ROBINSON #130
NORMAN OK
73072
US

V. Phone/Fax

Practice location:
  • Phone: 405-796-7226
  • Fax:
Mailing address:
  • Phone: 405-796-7226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TERI LYNN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 405-796-7226