Healthcare Provider Details

I. General information

NPI: 1669425187
Provider Name (Legal Business Name): E PLUS PET IMAGING VI LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6711 S YALE AVE SUITE 104
TULSA OK
74136-3313
US

IV. Provider business mailing address

6711 S YALE AVE STE 104
TULSA OK
74136-3317
US

V. Phone/Fax

Practice location:
  • Phone: 918-523-7200
  • Fax: 918-523-7201
Mailing address:
  • Phone: 918-523-7200
  • Fax: 918-523-7201

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: AURELIA N PICAZIO
Title or Position: VP, MANAGED CARE CONTRACTING
Credential:
Phone: 615-783-1091