Provider Demographics
NPI:1669425187
Name:E PLUS PET IMAGING VI LP
Entity type:Organization
Organization Name:E PLUS PET IMAGING VI LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO OF GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RHYMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-467-7415
Mailing Address - Street 1:6711 S YALE AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3313
Mailing Address - Country:US
Mailing Address - Phone:918-523-7200
Mailing Address - Fax:918-523-7201
Practice Address - Street 1:6711 S YALE AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-3313
Practice Address - Country:US
Practice Address - Phone:918-523-7200
Practice Address - Fax:918-523-7201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK20013450BMedicaid
P00084332OtherRRMEDICARE
400522320Medicare ID - Type Unspecified