Organization · Type 2 NPI

Imaging Partners of Tulsa LLC

Diagnostic Radiology Physician · Broken Arrow, OK

NPI number 1114749157 Active

Practice location

2544 E Kenosha St
Broken Arrow, OK 74014-6712

Call (918) 505-2725 Map

Mailing address

PO Box 17388
Denver, CO 80217-0388

Specialties and licenses

Taxonomy	Code	License
Diagnostic Radiology Physician Primary	2085R0202X	None listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

NPI record

NPI: 1114749157
Entity type: Organization (Type 2)
Issued: Oct 30, 2024
Last updated: Feb 4, 2025
Status: Active

Other names

<unavail>
Envision Imaging Broken Arrow · doing business as
Envision Imaging Broken Arrow · doing business as

Authorized official

Steven Brewer
CFO
(719) 955-4332

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1114749157

Imaging Partners of Tulsa LLC's National Provider Identifier is 1114749157, issued on Oct 30, 2024. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Broken Arrow, OK. The record was last updated on Feb 4, 2025.