Organization Active NPI

Cardiology Diagnostices of Muskogee

  • Physiological Laboratory
  • Muskogee, OK
National Provider Identifier
1891741500
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
OK-31060-01 Issued in OK
Legal business name
CARDIOLOGY DIAGNOSTICES OF MUSKOGEE
Practice address
3338 W Okmulgee St
Muskogee, OK 74401-5069
Phone
(918) 681-6100
Fax
(918) 681-6112
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Mrs. Gina Walker
Title
Business Manager
Phone
(918) 683-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X OK-31060-01 OK Primary

Addresses

Primary practice location

3338 W Okmulgee St
Muskogee, OK 74401-5069

Mailing address

3338 W Okmulgee St
Muskogee, OK 74401-5069
Phone (918) 681-6100

National Provider Directory

National Provider Directory

Locations

3338 W Okmulgee St
Muskogee, OK 74401
Phone (918) 681-6100

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1891741500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 W OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015069",
            "telephone_number": "918-681-6100",
            "fax_number": "918-681-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3338 W OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015069",
            "telephone_number": "918-681-6100",
            "fax_number": "918-681-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY DIAGNOSTICES OF MUSKOGEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "918-683-8100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "OK",
            "license": "OK-31060-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.