Muskogee Radiological Group Inc

LBN: Muskogee Radiological Group Inc
Muskogee Radiological Group Inc is an health care organization with primary practice located at 4500 S Garnett Rd Ste 919, Tulsa OK 74146-5229. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Muskogee Radiological Group Inc can be contacted via phone (918) 728-6145, or through Bolene, Jim via phone (918) 728-6145.

Contact Information

Primary practice address
4500 S Garnett Rd Ste 919 Tulsa OK 74146-5229
Phone: (918) 728-6145
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bolene, Jim Doctor of Medicine (MD)
Phone: (918) 728-6145

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1104882265
LBN Legal business name Muskogee Radiological Group Inc
DBA Doing business as
Authorized official Bolene, Jim Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2006
Last updated Nov 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104882265 NPPES
Other CO1513 RR MEDICARE

Popular Providers