QUALITY MEDICAL IMAGING OF OKLAHOMA, INC. (NPI# 1124637574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124637574 |
| Entity Type | Organization |
| Organization Name | QUALITY MEDICAL IMAGING OF OKLAHOMA, INC. |
| Practice Address |
201 Shady Creek Rd Ste 115 Durant OK 74701-2412 |
| Mailing Address |
2490 Professional Ct Ste 110 Las Vegas NV 89128-0835 |
| Practice Telephone | 5806347600 |
| Mailing Telephone | 7028391133 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | MR. ROGER C FASELT (PRESIDENT) |
| Authorized Official Telephone | 7028391133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132526 | Quality Medical Imaging of Oklahoma, Inc. | Physiological Laboratory | 201 Shady Creek Rd Ste 115, Durant, OK 74701-2412 | 2020-07-30 |
| Street Address |
201 SHADY CREEK RD STE 115 |
| City | DURANT |
| State | OK |
| Zip Code | 74701-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132526 | Quality Medical Imaging of Oklahoma, Inc. | Physiological Laboratory | 201 Shady Creek Rd Ste 115, Durant, OK 74701-2412 | 2020-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467810986 | Red River Mobile Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2807 Lorrie Ln, Durant, OK 74701-1660 | 2016-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982157178 | Schryver Medical Sales and Marketing, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1236 Sovereign Row, Oklahoma City, OK 73108-1823 | 2016-07-25 |
| 1730554031 | Jay L Krottinger | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis Ave, Tulsa, OK 74104-1615 | 2015-12-11 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1144501552 | Midwest Mobile Radiographics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2406 E Fairfield Ct, Oologah, OK 74053-4106 | 2011-08-30 |
| 1831417351 | Mms Imaging Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1415 Nw 43rd St, Oklahoma City, OK 73118-5021 | 2010-05-07 |
| 1851540173 | Professional Xray Mobility LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 14700 S Harvey Ave, Oklahoma City, OK 73170-7224 | 2008-09-10 |
| 1518027507 | Diagnostic Mobile Xray of Enid | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 247 S Coltrane Rd, Edmond, OK 73034-6730 | 2006-12-11 |
| 1295895282 | Diagnostic Mobile X-ray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 440 S Coltrane Rd, Edmond, OK 73034-6733 | 2006-12-11 |
| 1659479160 | Oklahoma Mobile Xray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3011 N Highway 81, Duncan, OK 73533-8923 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.