Provider Demographics
NPI:1699163626
Name:DEPENDABLE MEDICAL DIAGNOSTICS LLC
Entity type:Organization
Organization Name:DEPENDABLE MEDICAL DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:V
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-910-5022
Mailing Address - Street 1:122 S. 38TH
Mailing Address - Street 2:
Mailing Address - City:MUSKOQEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401
Mailing Address - Country:US
Mailing Address - Phone:918-910-5022
Mailing Address - Fax:918-577-6925
Practice Address - Street 1:122 S. 38TH
Practice Address - Street 2:
Practice Address - City:MUSKOQEE
Practice Address - State:OK
Practice Address - Zip Code:74401
Practice Address - Country:US
Practice Address - Phone:918-910-5022
Practice Address - Fax:918-577-6925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-29
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier