Organization Active NPI

Med-Corp Plus, Inc.

Doing business as Mobile Diagnostics

  • Mobile Radiology Clinic/Center
  • Muskogee, OK
National Provider Identifier
1558465617
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Med-Corp Plus Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.