Grand Lake Imaging PC
NPI 1184684011 · Diagnostic Radiology Physician · Grove, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Lake Imaging PC is a Diagnostic Radiology Physician organization in Grove, OK (NPI 1184684011).
Provider details
- NPI number
- 1184684011
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Yunt, President(918) 221-7506
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2023-03-30
- Certified
- 2023-03-30
Frequently asked questions
- What is Grand Lake Imaging PC's NPI number?
- Grand Lake Imaging PC's National Provider Identifier (NPI) is 1184684011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Lake Imaging PC?
- Grand Lake Imaging PC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Grand Lake Imaging PC located?
- Grand Lake Imaging PC's practice location on file with NPPES is 1001 E 18th St, Grove, OK 74344-2907.
- What is Grand Lake Imaging PC's phone number?
- The practice phone number listed in the NPPES registry for Grand Lake Imaging PC is (918) 221-7506.
- Does Grand Lake Imaging PC accept Medicare?
- Grand Lake Imaging PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grand Lake Imaging PC?
- The authorized official listed on Grand Lake Imaging PC's NPPES record is Kevin Yunt, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Lake Imaging PC's NPI active?
- Yes — Grand Lake Imaging PC's NPI (1184684011) is active in the NPPES registry as of the last update on 2023-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.