GENESISCARE LANDMARK IMAGING PC (NPI# 1962015818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962015818 |
| Entity Type | Organization |
| Organization Name | GENESISCARE LANDMARK IMAGING PC |
| Practice Address |
111 Harrison Ave Ste 104 Oklahoma City OK 73104-1819 |
| Mailing Address |
2160 Colonial Blvd Fort Myers FL 33907-1410 |
| Practice Telephone | 4052725090 |
| Practice Fax Number | 4052725091 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | JEFFREY T. TRIPLETT (PRESIDENT) |
| Authorized Official Telephone | 4052725090 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
111 HARRISON AVE STE 104 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043780042 | Touchstone Imaging of Oklahoma, LLC | Physiological Laboratory | 3500 Nw 56th St Ste 105, Oklahoma City, OK 73112-4517 | 2018-12-03 |
| 1184674335 | Diagnostic Health Corporation | Physiological Laboratory | 1145 Sw 74th St, Oklahoma City, OK 73139-2134 | 2006-05-10 |
| 1720085822 | Inoveon Corporation | Physiological Laboratory | 800 Research Parkway, Suite 370, Oklahoma City, OK 73104-3611 | 2005-07-05 |
| 1891054102 | Integris Cardiovascular Physicians | Physiological Laboratory | 3433 Nw 56th St, Ste 560, Oklahoma City, OK 73112-4455 | 2012-05-07 |
| 1669486858 | Integris Cardiovsacular Physicians | Physiological Laboratory | 3433 Nw 56th St, Suite 580, Oklahoma City, OK 73112-4455 | 2006-07-27 |
| 1548229032 | Accuhealth LLC | Physiological Laboratory | 5100 N Brookline Ave, Suite 325, Oklahoma City, OK 73112-3623 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417465220 | Touchstone Imaging of Oklahoma, LLC | Physiological Laboratory | 3000 N Main St Ste 100, Altus, OK 73521-1350 | 2018-01-15 |
| 1043733108 | Touchstone Imaging of Oklahoma, LLC | Physiological Laboratory | 1909 W 6th Ave Ste A, Stillwater, OK 74074-4204 | 2017-07-20 |
| 1083137145 | Touchstone Imaging of Oklahoma, LLC | Physiological Laboratory | 4160 Se Adams Rd Ste 101, Bartlesville, OK 74006-8452 | 2017-07-20 |
| 1396268454 | Touchstone Imaging of Oklahoma, LLC | Physiological Laboratory | 1751 Garth Brooks Blvd Ste 105, Yukon, OK 73099-6349 | 2017-07-20 |
| 1477076891 | Touchstone Imaging of Oklahoma, LLC | Physiological Laboratory | 712 Wall St, Norman, OK 73069-6360 | 2017-07-18 |
| 1902328727 | Southeast Imaging, LLC | Physiological Laboratory | 111 Forest Ave., Suite C, Eufaula, OK 74432 | 2017-07-13 |
| 1386166262 | Touchstone Imaging of Oklahoma, LLC | Physiological Laboratory | 13616 E 103rd St N Ste C, Owasso, OK 74055-4592 | 2017-07-12 |
| 1174045413 | Touchstone Imaging of Oklahoma, LLC | Physiological Laboratory | 1826 E 15th St Ste A, Tulsa, OK 74104-4637 | 2017-07-07 |
| 1841443439 | Discovery Diagnostics, LLC | Physiological Laboratory | 2626 Denver St, Muskogee, OK 74401-5334 | 2008-10-28 |
| 1962583153 | Sonya L Freeman | Physiological Laboratory | 507 Cedar Creek, Duncan, OK 73533 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
Please comment or provide details below to improve the information on GENESISCARE LANDMARK IMAGING PC.
| 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.