Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Radiology

Organization Diagnostic Radiology Physician · NPI 1093771321

Providence Radiology is a Diagnostic Radiology Physician in Tulsa, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4500 S Garnett Rd Ste 919
Tulsa, OK 74146-5229
Phone: (918) 728-6145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1093771321
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jim Bolene — President · (918) 728-6145
NPI enumeratedApril 25, 2006
Last updated in NPPESOctober 15, 2007
Mailing address4500 S Garnett Rd, Ste 919, Tulsa, OK 74146-5229

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