Healthcare Provider Details

I. General information

NPI: 1760914477
Provider Name (Legal Business Name): CONTRACT X-RAY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2017
Last Update Date: 03/09/2022
Certification Date: 03/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8181 E 46TH ST
TULSA OK
74145-4801
US

IV. Provider business mailing address

8181 E 46TH ST
TULSA OK
74145-4801
US

V. Phone/Fax

Practice location:
  • Phone: 918-664-9729
  • Fax: 918-664-9765
Mailing address:
  • Phone: 918-664-9729
  • Fax: 918-664-9765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number150639
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number150639
License Number StateOK
# 4
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number150639
License Number StateOK
# 5
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: JAMES BAKER
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 918-664-9729