NPIMap

Organization Active NPI

Mobile Cardiac Imaging , LLC

Doing business as MCI Therapy

  • Physical Therapy Clinic/Center
  • Tulsa, OK
National Provider Identifier
1366757866
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
3567 Issued in OK
Legal business name
MOBILE CARDIAC IMAGING , LLC
Doing business as
MCI Therapy
Practice address
7018 S Utica Ave
Tulsa, OK 74136-3907
Phone
(918) 744-1001
Fax
(918) 744-9729
NPI assigned
Aug 10, 2010
Last updated
Aug 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Colleen J. Payne
Title
President
Phone
(918) 744-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 3567 OK Primary

Addresses

Primary practice location

7018 S Utica Ave
Tulsa, OK 74136-3907

Mailing address

7018 S Utica Ave
Tulsa, OK 74136-3907
Phone (918) 744-1001

Other identifiers 2

IdentifierTypeStateIssuer
200222370AMedicaidOK
20031560BMedicaidOK

Other names 1

  • MCI Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mobile Cardiac Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7018 S Utica Ave
Tulsa, OK 74136
Phone (918) 523-2600

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1366757866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7018 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363907",
            "telephone_number": "918-744-1001",
            "fax_number": "918-744-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7018 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363907",
            "telephone_number": "918-744-1001",
            "fax_number": "918-744-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE CARDIAC IMAGING , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-744-1001"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OK",
            "license": "3567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200222370A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20031560B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCI Therapy",
            "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 10, 2010; 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.