Midwest Mobile Radiographics

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

MIDWEST MOBILE RADIOGRAPHICS

Practice address

2406 E Fairfield CT
Oologah, OK 74053-4106

Phone

(918) 691-2688

NPI assigned

Aug 30, 2011

Organization subpart

No

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

Authorized official

Name

Rick Hanneman

Title

President

Phone

(918) 691-2688

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1144501552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 E FAIRFIELD CT",
            "city": "OOLOGAH",
            "state": "OK",
            "postal_code": "740534106",
            "telephone_number": "918-691-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 E FAIRFIELD CT",
            "city": "OOLOGAH",
            "state": "OK",
            "postal_code": "740534106",
            "telephone_number": "918-691-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MOBILE RADIOGRAPHICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "HANNEMAN",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-691-2688"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline A Lane
• Kelsey Marie Lillard, APRN, CPNP-PC
• Shiloh Wayne Martin, M.ED. LPC
• Hailey Elisabeth McDaniel Johnson, MSW, LCSW
• Caitlyn McLemore
• Oologah Family Medicine Tana Vogele Aprn-CNP PLLC
• Oologah Pediatric Care PLLC
• Oologah Pediatric Care, PLLC
• Oologah Talala Public School
• Oologah-Talala EMS District

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Oologah, OK
• Providers in Oologah, OK by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.