GRAND LAKE IMAGING PC
NPI 1184684011
Radiology - Diagnostic Radiology in Grove, OK

Active since March 24, 2006
1001 E 18TH ST, GROVE, OK 74344(918) 221-7506 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2023, Jan 3, 2023 (2 updates tracked since 2023).

About Grand Lake Imaging Pc NPPES

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

GRAND LAKE IMAGING PC (NPI 1184684011) is a healthcare organization registered as a diagnostic radiology in Grove, Oklahoma and active in the NPI registry since March 2006. The organization lists Kevin James Yunt, President, as its authorized official.

NPPES Registry Identity

NPI1184684011
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameGRAND LAKE IMAGING PC
Location Address1001 E 18TH STGrove, OK 74344-2907
Mailing AddressPo Box 2264Indianapolis, IN 46206-2264 · (918) 221-7506
Organization SubpartNo
Authorized OfficialKevin James YuntPresident · (918) 221-7506
Enumeration DateMarch 24, 2006
Last NPPES UpdateMarch 30, 20232 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
NPI 1184684011 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.
1001 E 18TH ST, Grove, OK 74344

Other Identifiers 2

OtherDN4636Railroad Medicare
Medicaid100748880AOK

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

Accepted Insurance

Other Providers at the Same Location NPPES 17

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

Family Medicine
1001 E 18TH ST
GROVE, OK 74344
Nurse Practitioner
1001 E 18TH ST
GROVE, OK 74344
Hospitalist
1001 E 18TH ST
GROVE, OK 74344
Physician Assistant
1001 E 18TH ST
GROVE, OK 74344
Physical Therapy Assistant
1001 E 18TH ST
GROVE, OK 74344
Clinical Medical Laboratory
1001 E 18TH ST, SUITE A
GROVE, OK 74344
General Acute Care Hospital
1001 E 18TH ST
GROVE, OK 74344
Anesthesiology
1001 E 18TH ST
GROVE, OK 74344

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 Grand Lake Imaging PC's NPI number?

The NPI number for Grand Lake Imaging PC is 1184684011. It was assigned to this organization in the NPPES registry on March 24, 2006.

Where is Grand Lake Imaging PC located?

Grand Lake Imaging PC is located at 1001 E 18th St, Grove, OK 74344. The listed phone number is (918) 221-7506.

What is Grand Lake Imaging PC's specialty?

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

What insurance does Grand Lake Imaging PC accept?

Health plans from Medica and Mending Health list Grand Lake Imaging PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grand Lake Imaging PC was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.