Provider Demographics
NPI:1154431310
Name:SAINT FRANCIS BREAST CENTER MRI, LLC
Entity type:Organization
Organization Name:SAINT FRANCIS BREAST CENTER MRI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT, FINANCIAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-494-7365
Mailing Address - Street 1:6161 S YALE AVE
Mailing Address - Street 2:XAVIER - B LEVEL
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-1902
Mailing Address - Country:US
Mailing Address - Phone:918-494-7365
Mailing Address - Fax:918-494-7239
Practice Address - Street 1:6475 S YALE AVE
Practice Address - Street 2:SUITE 411
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7816
Practice Address - Country:US
Practice Address - Phone:918-494-9270
Practice Address - Fax:918-502-9523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2262261QM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)