NPI 1447793138

Jamie Laster, RCS

Practitioner Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Muskogee, OK

Practice location

Address: 2413 Saint Andrews CT, Muskogee, OK 74403-1682
Phone: (918) 910-4067
Fax: (918) 910-4065

Registered specialties (2)

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary

Suppliers Taxonomy 335V00000X

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Sonography Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471S1302X Licence 00090586 (OK)

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Registry record

NPI: 1447793138
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Nov 2016
Record last updated: 29 Nov 2016

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.