OrganizationActive
Edmond Mri LLC
NPI 1790746956 · Diagnostic Radiology Physician · Edmond, OK
Provider details
- NPI number
- 1790746956
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Philip Malone, Operations Manager(405) 321-8125
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
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
1705 Renaissance Blvd
Suite 135
Edmond, OK 73013-3022
Phone: (580) 234-2878
Street-level locationGet directions
Mailing address
1705 Renaissance Blvd
Edmond, OK 73013-3022
Other names (DBA / former)
- Doing business as
- Renaissance Mri
Registry dates
- Enumerated
- 2006-03-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.