The Lawton Imaging Center, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

THE LAWTON IMAGING CENTER, LLC

Practice address

1108 SW B Ave
Lawton, OK 73501-4229

Phone

(580) 699-7571

Fax

(580) 699-7581

NPI assigned

Mar 14, 2013

Organization subpart

No

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

Authorized official

Name

Ashley Henson

Title

Owner

Phone

(580) 699-4373

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffery Charles Hickman, D.C., P.A.-C

  • Medical Physician Assistant
  • Clinton, OK
  • NPI 1598999757
  NPD (past)

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1811238918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 SW B AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014229",
            "telephone_number": "580-699-7571",
            "fax_number": "580-699-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 SW B AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014229",
            "telephone_number": "580-699-7571",
            "fax_number": "580-699-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAWTON IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-699-4373"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manju Ani Thankachan, CRNA
• Sarala Thapa Shrestha, FNP
• Robin Wilson Tharrington, MSW
• The Barefoot Lotus LLC
• The Breast Center
• The Mind, Heart & Soul Counseling Enrichment Organization, LLC
• The Village Builders Community Development Foundation
• Tina Marie Theesen, RN
• Therapy in Motion of Oklahoma LLC
• Katherine Thigpen

• Radiology Clinic/Center in Lawton, OK
• Providers in Lawton, OK by specialty
• Radiology Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.