Provider Demographics
NPI:1639662687
Name:WESTVIEW MEDICAL IMAGING
Entity Type:Organization
Organization Name:WESTVIEW MEDICAL IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-425-1382
Mailing Address - Street 1:3606 N MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74106-6459
Mailing Address - Country:US
Mailing Address - Phone:918-425-1385
Mailing Address - Fax:918-430-0118
Practice Address - Street 1:3606 N MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74106-6459
Practice Address - Country:US
Practice Address - Phone:918-425-1385
Practice Address - Fax:918-430-0118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology