Organization Active NPI

Calera Radiology LLC

  • Physiological Laboratory
  • Calera, OK
National Provider Identifier
1790192599
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
702290 Issued in OK
Legal business name
CALERA RADIOLOGY LLC
Practice address
213 E Main St
Suite 300
Calera, OK 74730-2102
Phone
(580) 434-6900
Fax
(580) 434-6901
NPI assigned
Jul 14, 2014
Last updated
May 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Rhoda Low
Title
Owner
Phone
(580) 443-3010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X 702290 OK Primary

Addresses

Primary practice location

213 E Main St
Suite 300
Calera, OK 74730-2102

Mailing address

PO Box 449
Calera, OK 74730-0449
Phone (580) 434-6900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1790192599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "747300449",
            "telephone_number": "580-434-6900",
            "fax_number": "580-434-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E MAIN ST",
            "address_2": "SUITE 300",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "747302102",
            "telephone_number": "580-434-6900",
            "fax_number": "580-434-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALERA RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "LOW",
        "authorized_official_first_name": "RHODA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-443-3010"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "OK",
            "license": "702290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calera, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.