Provider Demographics
NPI:1457372492
Name:OPENSIDED MRI OF OKLAHOMA CITY LLC
Entity type:Organization
Organization Name:OPENSIDED MRI OF OKLAHOMA CITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-217-7114
Mailing Address - Street 1:3500 NW 56TH ST
Mailing Address - Street 2:ST 105
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4517
Mailing Address - Country:US
Mailing Address - Phone:405-943-0055
Mailing Address - Fax:405-943-0078
Practice Address - Street 1:3500 NW 56TH ST
Practice Address - Street 2:ST 105
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4517
Practice Address - Country:US
Practice Address - Phone:405-943-0055
Practice Address - Fax:405-943-0078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty