Organization Active NPI

E Plus Pet Imaging VI LP

Doing business as PET Imaging of Tulsa

  • Radiology Clinic/Center
  • Tulsa, OK
National Provider Identifier
1669425187
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00084332OtherRRMEDICARE
20013450BMedicaidOK

Other names 1

  • PET Imaging of Tulsa Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041027000166 OK Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1658333257 Practice locations: Tulsa, OK
O20240621003679 DC Part B Supplier - Clinic/Group Practice 1658333257 Receives reassigned benefits from 1 practitioner
Practice locations: Centreville, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1058307Pet Imaging of Tulsa6711 South Yale Ste 104, Tulsa, OK 74136Certificate of waiverSep 4, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.