Oklahoma Breast Care Center LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

OKLAHOMA BREAST CARE CENTER LLC

Practice address

13509 N Meridian Ave
Suite 6
Oklahoma City, OK 73120-8396

Phone

(405) 755-2273

Fax

(405) 751-3505

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debbie Clark

Title

Executive Director

Phone

(405) 755-2273

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881805232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13509 N MERIDIAN AVE",
            "address_2": "SUITE 6",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208396",
            "telephone_number": "405-755-2273",
            "fax_number": "405-751-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13509 N MERIDIAN AVE",
            "address_2": "SUITE 6",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208396",
            "telephone_number": "405-755-2273",
            "fax_number": "405-751-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA BREAST CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-755-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Behavior LLC
• Oklahoma Birdie Health, P.C.
• Oklahoma Blood Institute
• Oklahoma Brain Tumor Foundation
• Oklahoma Brain Tumor Foundation
• Oklahoma C.a.R.T. Association
• Oklahoma C.a.R.T. Association (Ocarta)
• Oklahoma Cancer and Blood Specialists, LLC
• Oklahoma Cardiovascular Associates, PC
• Oklahoma Cardiovascular Associates, PC

• Diagnostic Radiology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Diagnostic Radiology Physician in Oklahoma

• 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.