Organization Active NPI

CT Associates No. 1, L.L.C.

  • Radiology Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1174552947
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
CT ASSOCIATES NO. 1, L.L.C.
Doing business as
SouthPointe Imaging Center
Practice address
10317 Greenbriar Pkwy
Oklahoma City, OK 73159-7648
Phone
(405) 692-7226
Fax
(405) 692-2371
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Randy Wayne Wickersham
Title
VP of Operations
Phone
(405) 418-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X OK Primary

Addresses

Primary practice location

10317 Greenbriar Pkwy
Oklahoma City, OK 73159-7648

Mailing address

10317 Greenbriar Pkwy
Oklahoma City, OK 73159-7648
Phone (405) 692-7226

Other names 1

  • SouthPointe Imaging Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174552947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10317 GREENBRIAR PKWY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597648",
            "telephone_number": "405-692-7226",
            "fax_number": "405-692-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10317 GREENBRIAR PKWY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597648",
            "telephone_number": "405-692-7226",
            "fax_number": "405-692-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT ASSOCIATES NO. 1, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WICKERSHAM",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "405-418-2200"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SouthPointe Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • 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.