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Oklahoma Board of Medical Licensure and Supervision

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HAST, LAURIE JILL       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: COMPREHENSIVE DIAGNOSTIC IMAGING
5800 NORTH PORTLAND AVENUE
OKLAHOMA CITY OK 73112

Address last updated on 11/22/2021
Phone #: (405) 601-4500
Fax #:
County: OKLAHOMA
License: 19623
Dated: 12/19/1995
Expires: 12/1/2025
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: U OF CHGO DIV OF BIO SCI PRITZKER SCH OF MED, CHICAGO IL 60637
Graduated: 6 / 1988
CME Year: 2027
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF RADIOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
CIGNA PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: Great Plains Regional Medical Center
Elk City, OK
Locations: Hours: Languages:
COMPREHENSIVE DIAGNOSTIC IMAGING
5800 NORTH PORTLAND AVENUE
OKLAHOMA CITY OK 73112

Phone #: (405) 601-4500
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
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