Organization

Eden Diagnostic Associates

Specialist in Tulsa, OK(View on Map)

Legal Business Name

Eden Diagnostic Associates

NPI Number

1376099929

NPI Type

Organization

Enumeration Date

09/01/2016

Specialties

(Taxonomies)

Code

174400000X

Primary Taxonomy

Yes

Licenses

State

Oklahoma

License Number

1709

Contact
Information

Purpose

Mailing
Location

Address

5906 E 31ST ST
5906 E 31ST ST

City

Tulsa
Tulsa

State

OK
OK

Postal Code

74135-5110
74135-5110

Country

US
US

Telephone Number

N/A
(918) 508-7008

Authorized Official

Name

Mrs. Kim Angel

Title or Position

OFFICE MANAGER

Telephone Number

(918) 508-7008

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/13/2017

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