Impact Imaging, Inc.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

OK2749701 Issued in OK

Legal business name

IMPACT IMAGING, INC.

Practice address

207 Bryant PL
Del City, OK 73115-1001

Phone

(405) 677-6121

Fax

(405) 573-3263

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark Alan Marsee

Title

Operations Manager

Phone

(405) 677-6121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154431625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BRYANT PL",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731151001",
            "telephone_number": "405-677-6121",
            "fax_number": "405-573-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BRYANT PL",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731151001",
            "telephone_number": "405-677-6121",
            "fax_number": "405-573-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSEE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "405-677-6121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "OK",
            "license": "OK2749701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Del City, OK
• Providers in Del City, OK by specialty
• Mobile Radiology Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.