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Grand Lake Imaging PC

Diagnostic Radiology Physician in Grove, OK · enumerated 2006 · authorized official Kevin Yunt, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184684011

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Registry record

Entity type Organization (Type 2)
Legal business name Grand Lake Imaging PC
Practice address 1001 E 18th St, Grove, OK, 74344
Phone (918) 221-7506
Enumeration date Mar 24, 2006
Last updated in NPPES Mar 30, 2023

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kevin Yunt
Title President
Phone (918) 221-7506

Other identifiers

Identifier Type State Issuer
DN4636 Other - RAILROAD MEDICARE
100748880A Medicaid OK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-03-30. Verify at npiregistry.cms.hhs.gov.
Where is Grand Lake Imaging PC located?
The practice location on file with NPPES is in Grove, OK.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-30.