Active NPI
E Plus Pet Imaging VI LP
Doing business as PET Imaging of Tulsa
- Radiology Clinic/Center
- Tulsa, OK
National Provider Identifier
1669425187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- E PLUS PET IMAGING VI LP
- Doing business as
- PET Imaging of Tulsa
- Practice address
- 6711 S Yale Ave
Suite 104
Tulsa, OK 74136-3313 - Phone
- (918) 523-7200
- Fax
- (918) 523-7201
- NPI assigned
- May 18, 2006
- Last updated
- Nov 7, 2025
- 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
- Aurelia N Picazio
- Title
- VP, Managed Care Contracting
- Phone
- (615) 783-1091
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | NU | Primary |
Addresses
Primary practice location
6711 S Yale Ave
Suite 104
Tulsa, OK 74136-3313
Mailing address
6711 S Yale Ave Ste 104
Tulsa, OK 74136-3317
Phone (918) 523-7200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00084332 | Other | RRMEDICARE | |
| 20013450B | Medicaid | OK |
Other names 1
- PET Imaging of Tulsa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, DC
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D1058307 | Pet Imaging of Tulsa | Certificate of waiver | Sep 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
6711 S Yale Ave
Ste 104
Tulsa, OK 74136
Phone (918) 522-7200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762473600000",
"number": "1669425187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6711 S YALE AVE STE 104",
"city": "TULSA",
"state": "OK",
"postal_code": "741363317",
"telephone_number": "918-523-7200",
"fax_number": "918-523-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6711 S YALE AVE",
"address_2": "SUITE 104",
"city": "TULSA",
"state": "OK",
"postal_code": "741363313",
"telephone_number": "918-523-7200",
"fax_number": "918-523-7201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "E PLUS PET IMAGING VI LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A",
"authorized_official_last_name": "PICAZIO",
"authorized_official_first_name": "AURELIA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "VP, MANAGED CARE CONTRACTING",
"authorized_official_telephone_number": "615-783-1091"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMEDICARE",
"identifier": "P00084332",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20013450B",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PET Imaging of Tulsa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.