DIAGNOSTIC RADIOLOGY
NPI 1073565115
Radiology - Diagnostic Radiology in Edmond, OK

Active since May 17, 2006
902 S BRYANT AVE, EDMOND, OK 73034(405) 348-1900(405) 348-0423 Get Directions Write a Review

NPPES record last updated: September 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diagnostic Radiology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIAGNOSTIC RADIOLOGY (NPI 1073565115) is a healthcare organization registered as a diagnostic radiology in Edmond, Oklahoma and active in the NPI registry since May 2006. The organization lists Becky M Jackson, Billing Office Manager, as its authorized official.

NPPES Registry Identity

NPI1073565115
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameDIAGNOSTIC RADIOLOGY
Location Address902 S BRYANT AVEEdmond, OK 73034-5742
Mailing AddressPo Box 2080Edmond, OK 73083-2080 · (405) 348-1900 · Fax (405) 348-0423
Fax(405) 348-0423
Organization SubpartNo
Authorized OfficialBecky M JacksonBilling Office Manager · (405) 348-1900
Enumeration DateMay 17, 2006
Last NPPES UpdateSeptember 20, 2010
NPI 1073565115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
902 S BRYANT AVE, Edmond, OK 73034

Other Identifiers 3

Medicare ID-Type UnspecifiedWCDHV1OK
Medicaid100734560AOK
Other=========001OK · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
902 S BRYANT AVE
EDMOND, OK 73034
Radiology (Diagnostic Radiology)
902 S BRYANT AVE
EDMOND, OK 73034
Physiological Laboratory
902 S BRYANT AVE
EDMOND, OK 73034
Radiology (Diagnostic Radiology)
902 S BRYANT AVE
EDMOND, OK 73034
Radiology (Diagnostic Radiology)
902 S BRYANT AVE
EDMOND, OK 73034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diagnostic Radiology's NPI number?

The NPI number for Diagnostic Radiology is 1073565115. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Diagnostic Radiology located?

Diagnostic Radiology is located at 902 S Bryant Ave, Edmond, OK 73034. The listed phone number is (405) 348-1900.

What is Diagnostic Radiology's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Diagnostic Radiology was last updated on September 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.