Organization Active NPI

Advantage Diagnostics & MRI LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Owasso, OK
National Provider Identifier
1437826310
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
ADVANTAGE DIAGNOSTICS & MRI LLC
Practice address
7703 N Owasso Expy Ste 15
Owasso, OK 74055-3311
Phone
(918) 272-9200
Fax
(918) 274-1766
NPI assigned
Aug 27, 2021
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Linda Kathleen Taylor
Title
Office Manager
Phone
(918) 499-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

7703 N Owasso Expy Ste 15
Owasso, OK 74055-3311

Mailing address

9014 S Yale Ave Ste 102
Tulsa, OK 74137-3509
Phone (918) 499-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240814000575 OK Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6709983521 Practice locations: Owasso, OK

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

7703 N Owasso Expy
Ste 15
Owasso, OK 74055
Phone (918) 272-9200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1437826310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9014 S YALE AVE STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373509",
            "telephone_number": "918-499-9200",
            "fax_number": "918-499-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 N OWASSO EXPY STE 15",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740553311",
            "telephone_number": "918-272-9200",
            "fax_number": "918-274-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE DIAGNOSTICS & MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-499-9200"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.