PONCA CITY OPEN MRI, LLC
NPI 1912983719
Radiologic Technologist - Magnetic Resonance Imaging in Ponca City, OK

Active since December 22, 2005
2112 N 14TH ST, PONCA CITY, OK 74601(580) 762-6740(580) 762-9627 Get Directions Write a Review

NPPES record last updated: February 1, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ponca City Open Mri, Llc NPPES

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

PONCA CITY OPEN MRI, LLC (NPI 1912983719) is a healthcare organization registered as a magnetic resonance imaging in Ponca City, Oklahoma and active in the NPI registry since December 2005. The organization lists Clinton Locke, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1912983719
Entity TypeOrganization
Primary Taxonomy2471M1202X
Legal Business NamePONCA CITY OPEN MRI, LLC
Location Address2112 N 14TH STPonca City, OK 74601-1829
Mailing Address2112 N 14th StPonca City, OK 74601-1829 · (580) 762-6740 · Fax (580) 762-9627
Fax(580) 762-9627
Organization SubpartNo
Authorized OfficialClinton LockeExecutive Director · (580) 762-6740
Enumeration DateDecember 22, 2005
Last NPPES UpdateFebruary 1, 2011
NPI 1912983719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiologic Technologist · Magnetic Resonance ImagingTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471M1202X
Definition
A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care.
2112 N 14TH ST, Ponca City, OK 74601

Other Identifiers 3

Medicaid100836750AOK
Medicaid7187533301KS
Medicare ID-Type Unspecified900522033

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

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 Ponca City Open Mri, LLC's NPI number?

The NPI number for Ponca City Open Mri, LLC is 1912983719. It was assigned to this organization in the NPPES registry on December 22, 2005.

Where is Ponca City Open Mri, LLC located?

Ponca City Open Mri, LLC is located at 2112 N 14th St, Ponca City, OK 74601. The listed phone number is (580) 762-6740.

What is Ponca City Open Mri, LLC's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Magnetic Resonance Imaging, with taxonomy code 2471M1202X.

When was this NPI record last updated?

The NPPES record for Ponca City Open Mri, LLC was last updated on February 1, 2011. 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.