Ardmore Pet Associates

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

ARDMORE PET ASSOCIATES

Practice address

908 N Rockford Rd
Suite C
Ardmore, OK 73401-2540

Phone

(580) 223-7226

Fax

(580) 223-7228

NPI assigned

Oct 11, 2009

Organization subpart

No

Name

Ms. Stacy Jo Roberts

Title

Director

Phone

(580) 221-0894

Locations

• Ardmore Diagnostic Imaging Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 11, 2009.

{
    "created_epoch": "1255219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255219200000",
    "number": "1447585302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N COMMERCE ST",
            "address_2": "PMB 655",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734013915",
            "telephone_number": "580-223-7226",
            "fax_number": "580-223-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ROCKFORD RD",
            "address_2": "SUITE C",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012540",
            "telephone_number": "580-223-7226",
            "fax_number": "580-223-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDMORE PET ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-11",
        "last_updated": "2009-10-11",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-221-0894",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ardmore Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ardmore Family Health Care, PLLC
• Ardmore Family Pharmacy
• Ardmore Hearing Aid Service, Inc
• Ardmore OBGYN, PLLC
• Ardmore Ortho Plus, LLC
• Ardmore Physical Therapy Inc
• Ardmore Regional Surgery Center, LLC
• Ardmore Vision & Laser Eye Center PC
• Kylie N Armstrong
• Arthritis Care Center Oklahoma PLLC

• All providers in Ardmore, OK
• Radiology Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2009; 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.