Liberty Diagnostic Imaging of Okc LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

LIBERTY DIAGNOSTIC IMAGING OF OKC LLC

Practice address

4001 NW Expressway St
Oklahoma City, OK 73116-1686

Phone

(405) 348-7676

Fax

(405) 348-9966

NPI assigned

Jan 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Robert M Trent

Title

Owner

Phone

(405) 348-7676

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1538345244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 15TH ST STE 11",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133749",
            "telephone_number": "405-348-7676",
            "fax_number": "405-348-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 NW EXPRESSWAY ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161686",
            "telephone_number": "405-348-7676",
            "fax_number": "405-348-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DIAGNOSTIC IMAGING OF OKC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TRENT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-348-7676",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merlyn Liando
• Kiong Sen Liao, M.D.
• Dane T. Libart, LCSW
• Marianne B Libeer, AUD
• Libertad Wellness Center LLC
• Liberty Medcab LLC
• Adam Liberty
• Rosa Amelia Licea
• Alexandra Lich, MD
• Brian Lich, MD

• Magnetic Resonance Imaging (MRI) Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.