OrganizationActive
Southeast Imaging, LLC
NPI 1902328727 · Radiology Clinic/Center · Eufaula, OK
Provider details
- NPI number
- 1902328727
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeremiah Jansen, Member(405) 249-7672
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physiological Laboratory293D00000X
Laboratories
Practice location
111 Forest Ave.
Suite C
Eufaula, OK 74432
Phone: (405) 945-4710
Fax: (405) 945-4751
Approximate (ZIP-level) locationGet directions
Mailing address
3330 Nw 56th St.
Oklahoma City, OK 73112
Registry dates
- Enumerated
- 2017-07-13
- Last updated
- 2017-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.