Utica Imaging

LBN: Keithline Digital Imaging Llc
Utica Imaging is an health care organization with primary practice located at 1421 E 13Th St , Tulsa OK 74120-5207. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Radiology, which is considered as the primary health care specialty. Keithline Digital Imaging Llc can be contacted via phone (918) 585-3744, or through Keithline, Charles R via phone (918) 585-3744.

Contact Information

Primary practice address
1421 E 13Th St Tulsa OK 74120-5207
Phone: (918) 585-3744
Fax: (918) 585-3774
Website:
Map and Directions
Authorized official contact:
Name: Keithline, Charles R Doctor of Dental Surgery (DDS)
Phone: (918) 585-3744

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Radiology 1223X0008X 784 Oklahoma

Profile Details

NPI number 1467680231
LBN Legal business name Keithline Digital Imaging Llc
DBA Doing business as Utica Imaging
Authorized official Keithline, Charles R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2009
Last updated Jun 30th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467680231 NPPES
Oklahoma MEDICAID 100635530C

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