Organization Active NPI

Hefner MRI Associates LLC

Doing business as Hefner Diagnostic Imaging Center

  • Radiology Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1205004710
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
HEFNER MRI ASSOCIATES LLC
Doing business as
Hefner Diagnostic Imaging Center
Practice address
3400 West Hefner Road
Oklahoma City, OK 73120
Phone
(405) 418-0900
Fax
(405) 418-0901
NPI assigned
Feb 19, 2008
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Derek M Prentice
Title
Managing Member
Phone
(405) 418-2200

Specialties & licenses 1

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

Addresses

Primary practice location

3400 West Hefner Road
Oklahoma City, OK 73120

Mailing address

11101 Hefner Pointe Dr
222
Oklahoma City, OK 73120-5054
Phone (405) 418-2900

Other names 1

  • Hefner Diagnostic Imaging Center Doing business as

National Provider Directory

National Provider Directory

Locations

3400 W Hefner Rd
Oklahoma City, OK 73120
Phone (405) 418-0900

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1205004710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 HEFNER POINTE DR",
            "address_2": "222",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205054",
            "telephone_number": "405-418-2900",
            "fax_number": "405-418-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 WEST HEFNER ROAD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-418-0900",
            "fax_number": "405-418-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEFNER MRI ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "PRENTICE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-418-2200"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hefner Diagnostic 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 Apr 22, 2008; 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.