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NPI Code Detail

MEDICARE: A1 IMAGING OF TULSA LLC

MEDICARE: A1 IMAGING OF TULSA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1200XMagnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number : 1972762391
Entity Type Code : Organization
Provider Name (Legal Business Name) : A1 IMAGING OF TULSA LLC
Provider Business Mailing Address
First Line : 1800 2ND ST
Second Line : SUITE 915
City : SARASOTA
State : FL
Zip : 34236-5946
Country : US
Telephone Number : 941-315-9876
Fax Number :
Provider Business Practice Location Address
First Line : 3020 S HARVARD AVE
Second Line :
City : TULSA
State : OK
Zip : 74114-6138
Country : US
Telephone Number : 918-749-5657
Fax Number : 918-749-5667
Authorized Official
Title or Position : COO
Name : MARILYN RADAKOVIC
Credential :
Telephone Number : 951-285-6661
Provider Enumeration Date : 06/02/2008
Last Update Date : 12/04/2014

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Directions to “A1 IMAGING OF TULSA LLC ” Practice Location

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