Southern Oklahoma Diagnostic Center, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

SOUTHERN OKLAHOMA DIAGNOSTIC CENTER, LLC

Doing business as

Open MRI of Southern Oklahoma

Practice address

1111 Walnut
Ardmore, OK 73401

Phone

(580) 226-1674

Fax

(580) 226-9674

NPI assigned

Sep 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hayden D Henry, MDNPI 1639133580

Title

Board President

Phone

(580) 226-8310

Specialties & licenses 1

Addresses

Other names 1

• Open MRI of Southern Oklahoma Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Hospital Ardmore, Inc.

  • Rehabilitation Hospital Unit
  • Ardmore, OK
  • NPI 1295836922

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hayden D. Henry, M.D.

  • Urology Physician
  • Ardmore, OK
  • NPI 1639133580
  Authorized official Same address or phone
• Baha Al-Deen Abu-Esheh, MD

  • Neurology Physician
  • Ardmore, OK
  • NPI 1619909934
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1114021284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 WALNUT DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012354",
            "telephone_number": "580-226-1674",
            "fax_number": "580-226-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 WALNUT",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "73401",
            "telephone_number": "580-226-1674",
            "fax_number": "580-226-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OKLAHOMA DIAGNOSTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "HAYDEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "580-226-8310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open MRI of Southern Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeastern Oklahoma Family Services, Inc.
• Jade Southerland
• Southern Ok. Ambulance Service, Inc.
• Southern Okla Surgical Services (Ardmore Regional Surgery Center)
• Southern Oklahoma Ambulance Service, Inc.
• Southern Oklahoma Ear Nose Throat and Allgery Clinic Inc
• Southern Oklahoma Kidney Center Inc (Abdul N Khan MD)
• Southern Oklahoma Lifestyles and Preventative Medicine (Paradigm Hormones)
• Southern Oklahoma Multiple Services Inc P C (Bone & Joint Clinic of Southern Oklahoma)
• Southern Oklahoma Podiatry Services PLLC

• Magnetic Resonance Imaging (MRI) Clinic/Center in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.