Organization Active NPI

Incontrol Imaging Moore LLC

  • Radiology Clinic/Center
  • Moore, OK
National Provider Identifier
1861383655
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
INCONTROL IMAGING MOORE LLC
Practice address
1112 SW 30TH CT Ste 101
Moore, OK 73160-2888
Phone
(405) 645-7718
NPI assigned
Jul 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Lisa Burris
Title
President / Owner
Phone
(317) 796-0157

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1112 SW 30TH CT Ste 101
Moore, OK 73160-2888

Mailing address

1112 SW 30TH CT Ste 101
Moore, OK 73160-2888
Phone (405) 645-7718

National Provider Directory

National Provider Directory

Locations

1112 SW 30th Ct
Ste 101
Moore, OK 73160
Phone (405) 645-7718

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1861383655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 SW 30TH CT STE 101",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602888",
            "telephone_number": "405-645-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 SW 30TH CT STE 101",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602888",
            "telephone_number": "405-645-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCONTROL IMAGING MOORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "317-796-0157"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.