Active NPI
Oklahoma Mobile Lithotripter Associates, L.C.
- Lithotripsy Clinic/Center
- Oklahoma City, OK
National Provider Identifier
1639618754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lithotripsy Clinic/Center
- Legal business name
- OKLAHOMA MOBILE LITHOTRIPTER ASSOCIATES, L.C.
- Practice address
- 5401 N Portland Ave
Suite 640
Oklahoma City, OK 73112-2121 - Phone
- (405) 604-4160
- Fax
- (405) 604-4053
- NPI assigned
- Feb 22, 2017
- Organization subpart
- Yes
- Parent organization
- OKLAHOMA LITHOTRIPTER ASSOCIATES, L.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stewart Burchett
- Title
- Executive Director
- Phone
- (405) 604-4160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lithotripsy Clinic/Center | 261QL0400X | Primary |
Addresses
Primary practice location
5401 N Portland Ave
Suite 640
Oklahoma City, OK 73112-2121
Mailing address
5401 N Portland Ave
Suite 640
Oklahoma City, OK 73112-2121
Phone (405) 604-4160
National Provider Directory
National Provider Directory- Part of
- Oklahoma Lithotripter Associates LC
Locations
5401 N Portland Ave
Ste 640
Oklahoma City, OK 73112
Phone (405) 604-4160
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Ambulatory Surgical Clinic/Center
- Oklahoma City, OK
- NPI 1750597449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487721600000",
"number": "1639618754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 N PORTLAND AVE",
"address_2": "SUITE 640",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122121",
"telephone_number": "405-604-4160",
"fax_number": "405-604-4053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 N PORTLAND AVE",
"address_2": "SUITE 640",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122121",
"telephone_number": "405-604-4160",
"fax_number": "405-604-4053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OKLAHOMA MOBILE LITHOTRIPTER ASSOCIATES, L.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OKLAHOMA LITHOTRIPTER ASSOCIATES, L.C.",
"enumeration_date": "2017-02-22",
"last_updated": "2017-02-22",
"status": "A",
"authorized_official_last_name": "BURCHETT",
"authorized_official_first_name": "STEWART",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "405-604-4160"
},
"taxonomies": [
{
"code": "261QL0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Lithotripsy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Oklahoma Mental Health Council
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- Oklahoma Mental Health Council
- Oklahoma Mothers' Milk Bank
- Oklahoma Nephrology Associates Inc
- Oklahoma Neurocare PLLC
- Oklahoma Oncology and Hematolgy PC
- Oklahoma Oncology and Hematology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.