NPIMap

Organization Active NPI

Yukon Medical Imaging LLC

  • Radiology Clinic/Center
  • Yukon, OK
National Provider Identifier
1528013448
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
YUKON MEDICAL IMAGING LLC
Practice address
1751 Garth Brooks Blvd
Yukon, OK 73099-6349
Phone
(918) 496-5000
NPI assigned
May 23, 2006
Last updated
Mar 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Seth Carney
Title
VP of Operations
Phone
(918) 496-5264

Specialties & licenses 1

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

Addresses

Primary practice location

1751 Garth Brooks Blvd
Yukon, OK 73099-6349

Mailing address

PO Box 100
Dept 403
Bixby, OK 74008-0100
Phone (918) 293-1700

National Provider Directory

National Provider Directory

Locations

1751 Garth Brooks Blvd
Yukon, OK 73099
Phone (405) 350-6860

1751 Garth Brooks Blvd
Ste 106
Yukon, OK 73099
Phone (405) 350-6860

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1528013448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "address_2": "DEPT 403",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740080100",
            "telephone_number": "918-293-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 GARTH BROOKS BLVD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996349",
            "telephone_number": "918-496-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUKON MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "918-496-5264"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.