Prime Diagnostics

Primary specialty

SpecialistTaxonomy code 174400000X

License

19195 Issued in OK

Legal business name

PRIME DIAGNOSTICS

Practice address

3601 N May Ave
Suite C
Oklahoma City, OK 73112-6641

Phone

(405) 604-5613

Fax

(405) 601-3750

NPI assigned

Sep 5, 2007

Last updated

Oct 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

J Michael Alvis, MD

Title

Ceo

Phone

(405) 604-5613

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1427242247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 N MAY AVE",
            "address_2": "SUITE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126641",
            "telephone_number": "405-604-5613",
            "fax_number": "405-601-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 N MAY AVE",
            "address_2": "SUITE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126641",
            "telephone_number": "405-604-5613",
            "fax_number": "405-601-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "ALVIS",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-604-5613",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "19195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primacare LP
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• Primary Care Medical Clinic PLC
• Primary Chiropractic LLC Inbalance Chiropractic & Wellness
• Primary Therapeutic Services, LLC
• Prime Home Health Care Inc.
• Prime Injury Care LLC
• Prime Mental Health, LLC
• Prime RX Pharmacy LLC (Prime Rx Pharmacy)
• Prince Chiropractic Wellness Center, PLLC

• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.