Organization Active NPI

Hope Diagnostic Imaging Okc LLC

  • Radiology Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1760339048
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
HOPE DIAGNOSTIC IMAGING OKC LLC
Practice address
3300 NW 56TH St Ste Lower
Oklahoma City, OK 73112-4538
Phone
(405) 650-4786
NPI assigned
Mar 14, 2026
Last updated
Mar 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Derek M Prentice
Title
Managing Member
Phone
(405) 650-4786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

3300 NW 56TH St Ste Lower
Oklahoma City, OK 73112-4538

Mailing address

3300 NW 56TH St Ste Lower
Oklahoma City, OK 73112-4538
Phone (405) 650-4786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260617003231 OK Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3678045945 Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

3300 NW 56th St
Lowr
Oklahoma City, OK 73112
Phone (405) 650-4786

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": "1773446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773446400000",
    "number": "1760339048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NW 56TH ST STE LOWER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124538",
            "telephone_number": "405-650-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NW 56TH ST STE LOWER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124538",
            "telephone_number": "405-650-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE DIAGNOSTIC IMAGING OKC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-14",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A",
        "authorized_official_last_name": "PRENTICE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-650-4786"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.