OrganizationActive
Incontrol Imaging Moore LLC
NPI 1861383655 · Radiology Clinic/Center · Moore, OK
Provider details
- NPI number
- 1861383655
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Burris, President / Owner(317) 796-0157
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Practice location
1112 Sw 30th Ct Ste 101
Moore, OK 73160-2888
Phone: (405) 645-7718
Approximate (ZIP-level) locationGet directions
Mailing address
1112 Sw 30th Ct Ste 101
Moore, OK 73160-2888
Registry dates
- Enumerated
- 2025-07-10
- Last updated
- 2025-07-14
- Certified
- 2025-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.