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MUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC
NPI 1629020995
Radiology - Vascular & Interventional Radiology in Edmond, OK

Active since May 16, 2006CLIA 37D2067270 · Waiver
1023 WATERWOOD PKWY, EDMOND, OK 73034(405) 601-2325(405) 497-6074 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Musculoskeletal Imaging And Interventional Llc NPPES

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

MUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC (NPI 1629020995) is a healthcare organization registered as a vascular & interventional radiology in Edmond, Oklahoma and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 10, 2027 and lists Douglas P Beall, Chief Of Services, as its authorized official.

NPPES Registry Identity

NPI1629020995
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameMUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC
Location Address1023 WATERWOOD PKWYEdmond, OK 73034-5324
Mailing AddressPo Box 1390Oklahoma City, OK 73101-1390 · (405) 601-2325 · Fax (405) 497-6074
Phone(405) 601-2325
Fax(405) 497-6074
Organization SubpartNo
Authorized OfficialDouglas P BeallChief Of Services · (405) 601-2325
Enumeration DateMay 16, 2006
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1629020995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
1023 WATERWOOD PKWY, Edmond, OK 73034
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Other Identifiers 1

Medicaid200069440BOK

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2067270

Musculoskeletal Imaging & Interventional · Edmond, OK
Active · expires Oct 10, 2027
CLIA Number37D2067270
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2025
Certificate Expiration DateOctober 10, 2027
Laboratory DirectorDouglas P. Beall
Laboratory Phone(405) 601-2325
Laboratory LocationMusculoskeletal Imaging & Interventional1023 Waterwood Parkway, Edmond, OK 73034
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

RUDY S FERNANDEZ MD PC
Clinic/Center (Magnetic Resonance Imaging (MRI))
1023 WATERWOOD PKWY
EDMOND, OK 73034
Oklahoma County (405) 513-7226
RUDY S FERNANDEZ MD PC
Radiology (Diagnostic Radiology)
1023 WATERWOOD PKWY
EDMOND, OK 73034
Oklahoma County (405) 513-7226
MUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC
Radiology (Vascular & Interventional Radiology)
1023 WATERWOOD PKWY
EDMOND, OK 73034
Oklahoma County (405) 227-7479
DR. DOUGLAS P BEALL MD
Radiology (Diagnostic Radiology)
1023 WATERWOOD PKWY
EDMOND, OK 73034
Oklahoma County (405) 601-2325

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 Musculoskeletal Imaging And Interventional LLC's NPI number?

The NPI number for Musculoskeletal Imaging And Interventional LLC is 1629020995. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Musculoskeletal Imaging And Interventional LLC located?

Musculoskeletal Imaging And Interventional LLC is located at 1023 Waterwood Pkwy, Edmond, OK 73034. The listed phone number is (405) 601-2325.

What is Musculoskeletal Imaging And Interventional LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Does Musculoskeletal Imaging And Interventional LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2067270) is associated with this NPI, valid through October 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Musculoskeletal Imaging And Interventional LLC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.