Active NPI
Med-Corp Plus, Inc.
Doing business as Mobile Diagnostics
- Mobile Radiology Clinic/Center
- Muskogee, OK
National Provider Identifier
1558465617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- MED-CORP PLUS, INC.
- Doing business as
- Mobile Diagnostics
- Practice address
- 1338 W Shawnee St
Muskogee, OK 74401-3406 - Phone
- (918) 687-3297
- Fax
- (918) 687-0971
- NPI assigned
- Sep 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alfred Ezell
- Title
- Owner
- Phone
- (918) 687-8033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
1338 W Shawnee St
Muskogee, OK 74401-3406
Mailing address
3310 Chandler Rd
Muskogee, OK 74403-4906
Phone (918) 687-8033
Other names 1
- MOBILE DIAGNOSTICS
National Provider Directory
National Provider Directory- Tax ID family
- Med-Corp Plus Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Muskogee, OK
- NPI 1619089257
Locations
3310 Chandler Rd
Muskogee, OK 74403
Phone (918) 686-0646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1558465617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 CHANDLER RD",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744034906",
"telephone_number": "918-687-8033",
"fax_number": "918-687-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1338 W SHAWNEE ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744013406",
"telephone_number": "918-687-3297",
"fax_number": "918-687-0971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-CORP PLUS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EZELL",
"authorized_official_first_name": "ALFRED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-687-8033"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MOBILE DIAGNOSTICS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.