Organization Active NPI

McAlester Imaging Associates LLC

  • Radiology Clinic/Center
  • McAlester, OK
National Provider Identifier
1760411540
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MCALESTER IMAGING ASSOCIATES LLC
Practice address
10 S 3Rd St
Suite 100
McAlester, OK 74501-5319
Phone
(918) 426-5656
Fax
(918) 426-5757
NPI assigned
Jul 2, 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
Randy Wayne Wickersham
Title
VP of Operations
Phone
(405) 418-2200

Specialties & licenses 1

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

Addresses

Primary practice location

10 S 3Rd St
Suite 100
McAlester, OK 74501-5319

Mailing address

10 S 3Rd St
Suite 100
McAlester, OK 74501-5319
Phone (918) 426-5656

Other names 1

  • McAlester Diagnostic Imaging Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760411540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S 3RD ST",
            "address_2": "SUITE 100",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015319",
            "telephone_number": "918-426-5656",
            "fax_number": "918-426-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S 3RD ST",
            "address_2": "SUITE 100",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015319",
            "telephone_number": "918-426-5656",
            "fax_number": "918-426-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCALESTER IMAGING ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WICKERSHAM",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "405-418-2200"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McAlester Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAlester, 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.