Organization Active NPI

Ardmore Pet Associates

Doing business as Ardmore Diagnostic Imaging

  • Radiology Clinic/Center
  • Ardmore, OK
National Provider Identifier
1447585302
Registry record updated Oct 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ARDMORE PET ASSOCIATES
Doing business as
Ardmore Diagnostic Imaging
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
Last updated
Oct 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2009

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

Authorized official

Name
Ms. Stacy Jo Roberts
Title
Director
Phone
(580) 221-0894

Specialties & licenses 1

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

Addresses

Primary practice location

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

Mailing address

720 N Commerce St
PMB 655
Ardmore, OK 73401-3915
Phone (580) 223-7226

Other names 1

  • Ardmore Diagnostic Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

720 N Commerce St
Ardmore, OK 73401
Phone (580) 223-4770

NPI Registry JSON

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

{
    "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"
        }
    ]
}

Other providers in Ardmore, OK

Sources for this page

  • 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.