LIBERTY DIAGNOSTIC IMAGING OF OKC LLC (NPI# 1538345244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538345244 |
| Entity Type | Organization |
| Organization Name | LIBERTY DIAGNOSTIC IMAGING OF OKC LLC |
| Practice Address |
4001 Nw Expressway St Oklahoma City OK 73116-1686 |
| Mailing Address |
700 W 15th St Ste 11 Edmond OK 73013-3749 |
| Practice Telephone | 4053487676 |
| Practice Fax Number | 4053489966 |
| Mailing Telephone | 4053487676 |
| Mailing Fax Number | 4053489966 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. ROBERT M TRENT (OWNER) |
| Authorized Official Telephone | 4053487676 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
========= | OK | Ambulatory Health Care Facilities |
| Street Address |
4001 NW EXPRESSWAY ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-1686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942239702 | Vantage Open Mri LLC | Clinic/Center | 3400 W Hefner Rd, Oklahoma City, OK 73120-5083 | 2006-07-02 |
| 1760438105 | Open Mri of Oklahoma City, LLC | Clinic/Center | 9656 N May Ave, Oklahoma City, OK 73120-2714 | 2006-05-26 |
| 1316365109 | Advanced Strategies In Professional Imaging | Clinic/Center | 1132 N Broadway Dr, Oklahoma City, OK 73103-4910 | 2014-03-31 |
| 1104870625 | Swomri, LLC | Clinic/Center | 1044 Sw 44th St, Suite 416 # Johnnie, Oklahoma City, OK 73109-3609 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711710 | Tulsa Radiology and Imaging Center LLC | Clinic/Center | 5711 E 71st St Ste 100d, Tulsa, OK 74136-6655 | 2020-08-21 |
| 1114193174 | Rudy S Fernandez Md PC | Clinic/Center | 1023 Waterwood Pkwy, Edmond, OK 73034-5324 | 2008-04-30 |
| 1558487108 | Open-sided Mri of Bartlesville, LLC | Clinic/Center | 4160 Se Adams Rd, Bldg B, Bartlesville, OK 74006-8410 | 2007-03-22 |
| 1184797185 | Advantage Diagnositc & Mri, LLC | Clinic/Center | 9149 S Yale Ave # 305, Tulsa, OK 74137-4024 | 2006-11-16 |
| 1013018795 | Open Mri of Durant,llc | Clinic/Center | 2911 W University Blvd, Durant, OK 74701-2978 | 2006-09-26 |
| 1114021284 | Southern Oklahoma Diagnostic Center, LLC | Clinic/Center | 1111 Walnut, Ardmore, OK 73401 | 2006-09-11 |
| 1922023175 | Shiloh Imaging Center LLC | Clinic/Center | 1415 N Watts St, Sayre, OK 73662-1310 | 2006-07-12 |
| 1922044841 | Ada Mri Associates, L.L.C. | Clinic/Center | 435 N Monte Vista St, Suite B, Ada, OK 74820-4609 | 2006-06-20 |
| 1689611303 | Midwest Open Mri, LLC | Clinic/Center | 2300 S Douglas Blvd, Midwest City, OK 73130-7114 | 2006-06-01 |
| 1841246295 | Open Mri of Tulsa, LLC | Clinic/Center | 7050 S Yale Ave, Suite 101, Tulsa, OK 74136-5708 | 2006-05-26 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
Please comment or provide details below to improve the information on LIBERTY DIAGNOSTIC IMAGING OF OKC LLC.
| 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.