Preferred Diagnostic Imaging, LLC

Primary specialty

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

Legal business name

PREFERRED DIAGNOSTIC IMAGING, LLC

Practice address

2419 N Commerce St Ste C
Ardmore, OK 73401-1357

Phone

(580) 226-7587

Fax

(580) 226-4878

NPI assigned

Sep 4, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Bent Keith Holliman, PA

Title

Manager

Phone

(405) 227-1280

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1548095920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LILAC DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347297",
            "telephone_number": "405-906-3375",
            "fax_number": "405-216-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 N COMMERCE ST STE C",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011357",
            "telephone_number": "580-226-7587",
            "fax_number": "580-226-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED DIAGNOSTIC IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "HOLLIMAN",
        "authorized_official_first_name": "BENT",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-227-1280",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendi Poulson
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• Danny Powell
• Morgan Canonici Powell, MRC, CRC, LPC
• Precise Management Services LLC
• Deanne Lee Pregno, PRSS
• Premier Health Care LLC
• Premise Health of Oklahoma Medical PC
• Premise Health of Oklahoma Medical PC
• Premise Health of Oklahoma Medical PC

• Magnetic Resonance Imaging (MRI) Clinic/Center in Ardmore, OK
• Providers in Ardmore, 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 Nov 5, 2024; 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.