Organization Active NPI

Tulsa X-Ray Laboratory PLLC

Doing business as Tulsa Diagnostic Interventional Radiology

  • Diagnostic Radiology Physician
  • Tulsa, OK
National Provider Identifier
1144211582
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TULSA X-RAY LABORATORY PLLC
Doing business as
Tulsa Diagnostic Interventional Radiology
Practice address
5801 E 41St St Ste 900
Tulsa, OK 74135-5631
Phone
(918) 934-8347
Fax
(918) 743-8552
NPI assigned
Nov 3, 2005
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Jason Martens, MDNPI 1538109087
Title
President
Phone
(918) 934-8347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

5801 E 41St St Ste 900
Tulsa, OK 74135-5631

Mailing address

PO Box 4930
Tulsa, OK 74159-0930
Phone (918) 934-8347

Other identifiers 1

IdentifierTypeStateIssuer
100729370AMedicaidOK

Other names 1

  • TULSA DIAGNOSTIC INTERVENTIONAL RADIOLOGY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CA, TN, CO, WV, GA, NC, IN, MD, ME, LA, MO, FL, NY, DC, NJ, IL, HI, KY, OH, TX, MI, UT38 enrollments

Enrollment records 38

Enrollment IDStateProvider typePAC IDDetails
O20031111000899 OK Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 24 practitioners
Practice locations: Bartlesville, OK; Claremore, OK; Pryor, OK; Tulsa, OK; Wagoner, OK
O20180531001463 CA Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 2 practitioners
Practice locations: Chula Vista, CA; Tarzana, CA
O20190211002837 TN Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN
O20190327002467 CO Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 2 practitioners
Practice locations: Colorado Springs, CO
O20190409000882 WV Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, WV
O20200114003782 GA Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Marys, GA; Savannah, GA
O20200402000823 NC Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 1 practitioner
Practice locations: Asheville, NC
O20200807002769 IN Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 4 practitioners
Practice locations: Carmel, IN; Crown Point, IN; Fort Wayne, IN
O20200921000280 MD Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Airy, MD; Phoenix, MD
O20230410002073 ME Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, ME
O20230414000579 LA Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 1 practitioner
Practice locations: Bossier City, LA
O20230427000173 MO Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Charles, MO; Springfield, MO
O20241118001415 FL Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 2 practitioners
Practice locations: Hollywood, FL; Tampa, FL
O20241121001531 NY Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 2 practitioners
Practice locations: Dix Hills, NY; Smithtown, NY
O20250304002962 DC Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 1 practitioner
Practice locations: Burke, VA
O20250313002432 NJ Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 2 practitioners
Practice locations: Alpine, NJ; Mullica Hill, NJ
O20250326002160 IL Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL
O20250414003268 HI Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 3 practitioners
Practice locations: Honolulu, HI; Kailua, HI; Kihei, HI
O20250423003573 KY Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 1 practitioner
Practice locations: Simpsonville, KY
O20250530002240 OH Part B Supplier - Clinic/Group Practice 4183537426 Receives reassigned benefits from 2 practitioners
Practice locations: Bexley, OH; Ottawa Hills, OH
O20260113002378 OK Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 19 practitioners
Practice locations: Tulsa, OK
O20260130003135 CA Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 2 practitioners
Practice locations: Chula Vista, CA; Tarzana, CA
O20260202000670 NJ Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 3 practitioners
Practice locations: Alpine, NJ; Hamburg, NJ; Mullica Hill, NJ
O20260206001052 MD Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Airy, MD
O20260209002943 TX Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 2 practitioners
Practice locations: Flower Mound, TX; Houston, TX
O20260212002903 MI Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester Hills, MI
O20260213000506 MO Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Charles, MO
O20260217003844 IN Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 2 practitioners
Practice locations: Carmel, IN; Fort Wayne, IN
O20260219002906 CO Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 2 practitioners
Practice locations: Colorado Springs, CO; Monument, CO
O20260225003559 DC Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, VA; Burke, VA
O20260226001230 TN Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN
O20260309000557 IL Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL
O20260309000726 KY Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 1 practitioner
Practice locations: Simpsonville, KY
O20260311002780 HI Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 1 practitioner
Practice locations: Kihei, HI
O20260316001400 OH Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 2 practitioners
Practice locations: Bexley, OH; Ottawa Hills, OH
O20260506003524 FL Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 4 practitioners
Practice locations: Tampa, FL; Hollywood, FL; Estero, FL; Gainesville, FL
O20260515002731 GA Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 1 practitioner
Practice locations: Augusta, GA
O20260520004176 UT Part B Supplier - Clinic/Group Practice 6103302724 Receives reassigned benefits from 1 practitioner
Practice locations: Sandy, UT

National Provider Directory

National Provider Directory

Locations

111 N Bailey St
Pryor, OK 74361
Phone (918) 824-7791

5801 E 41st St
Tulsa, OK 74135
Phone (918) 743-8943

8282 S Memorial Dr
Ste 106
Tulsa, OK 74133

8803 S 101st East Ave
Tulsa, OK 74133
Phone (918) 250-2033

9001 S 101st East Ave
Tulsa, OK 74133
Phone (918) 293-6200

Practitioners & affiliated clinicians

Practitioners 72

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.

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1144211582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4930",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741590930",
            "telephone_number": "918-934-8347",
            "fax_number": "918-743-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 E 41ST ST STE 900",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355631",
            "telephone_number": "918-934-8347",
            "fax_number": "918-743-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA X-RAY LABORATORY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "MARTENS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-934-8347",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100729370A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TULSA DIAGNOSTIC INTERVENTIONAL RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.