Active NPI
Laura L Lee, M.D.
- Diagnostic Radiology Physician
- Tulsa, OK
National Provider Identifier
1972586782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 12850
- Practice address
- 4111 S Darlington Ave
Ste 700
Tulsa, OK 74135-6348 - Phone
- (918) 743-8838
- Fax
- (918) 743-9058
- NPI assigned
- Nov 25, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 12850 | OK | Primary |
Addresses
Primary practice location
4111 S Darlington Ave
Ste 700
Tulsa, OK 74135-6348
Mailing address
4111 S Darlington Ave
Suite 700
Tulsa, OK 74135-6348
Phone (918) 743-8838
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300105717 | Other | OK | RAILROAD MEDICARE |
| 300129664 | Other | OK | RAILROAD MEDICARE |
| 100129390B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12850 | OK | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulsa Radiology Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
| Radiological Imaging of Oklahoma, L.L.C. | Past | Accepting new patients | |
| Springer Clinic Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Owasso, OK
- NPI 1588649305
-
- Multi-Specialty Clinic/Center
- Tulsa, OK
- NPI 1316949860
-
- Diagnostic Radiology Physician
- Tulsa, OK
- NPI 1871574509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1972586782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 S DARLINGTON AVE",
"address_2": "SUITE 700",
"city": "TULSA",
"state": "OK",
"postal_code": "741356348",
"telephone_number": "918-743-8838",
"fax_number": "918-743-9058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 S DARLINGTON AVE",
"address_2": "STE 700",
"city": "TULSA",
"state": "OK",
"postal_code": "741356348",
"telephone_number": "918-743-8838",
"fax_number": "918-743-9058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LAURA",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-25",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "12850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300105717",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300129664",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100129390B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.