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General NPI Number Information
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NPI Number | 1205785664
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Entity Type | Organization
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Legal Business Name | IONIZING RADIOLOGY LLC DIGITAL DIAGNOSTIC SOLUTIONS
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 18707 EAST 50TH PLACE
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City | TULSA
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State | OK
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Zip | 74134
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Country | US
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Telephone | 918-519-4599
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Fax |
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Provider Business Mailing Address
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Address Line | 9524 E 81ST ST UNIT B1716
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City | TULSA
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State | OK
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Zip | 74133-8033
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Country | US
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Telephone | 918-519-4599
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CRYSTAL COLLINS
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Credential | RRA, RPA
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Telephone | 918-519-4599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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