Organization Name: | BC IMAGING LLC FORM KNOWN AS BREAST CARE DIAGNOSTICS LTD. PARTNERSHIP |
NPI Number: | 1114049426 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY K KILLEBREW (MEDICAL DIRECTOR) |
Mailing Address: | 13509 N Meridian Ave Suite 6 Oklahoma City |
State: | OK US |
Postal Code: | 731208396 |
Phone Number: | 4057552273 |
Fax Number: | 4057513505 |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 01/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |