NPI 1043005606
Phs Ks Moirai LLC
Practice location
- Address
- 1510 Walnut St, Coffeyville, KS 67337-6641
- Phone
- (800) 771-9729
- Mailing address
- 8181 E 46th St, Tulsa, OK 74145-4801
Authorised official
- Name
- James Baker
- Title
- Ceo
- Phone
- (918) 664-9729
Registered specialties
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
Registry record
- NPI
- 1043005606
- Entity type
- Organization
- NPI issued
- 14 Apr 2025
- Record last updated
- 22 Apr 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.