TULSA MEDICAL LABORATORY, LLC (NPI# 1063743052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063743052 |
| Entity Type | Organization |
| Organization Name | TULSA MEDICAL LABORATORY, LLC |
| Practice Address |
6565 S Yale Ave Suite 410 Tulsa OK 74136-8327 |
| Mailing Address |
2738 E 51st St Suite 290 Tulsa OK 74105-6231 |
| Practice Telephone | 9184817859 |
| Practice Fax Number | 9187477831 |
| Mailing Telephone | 9187125571 |
| Mailing Fax Number | 9187477831 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-28 |
| Authorized Official Name | RICK D GILLIS (BUSINESS MANAGER) |
| Authorized Official Telephone | 9187125571 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457468464 | Tulsa Medical Laboratory, LLC | Pathology | 6565 S Yale Ave, Suite 410, Tulsa, OK 74136-8378 | 2006-08-24 |
| Street Address |
6565 S YALE AVE SUITE 410 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-8327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477559201 | Brian Roadhouse | Chiropractor | 6565 S Yale Ave, Ste 106, Tulsa, OK 74136-8310 | 2005-06-27 |
| 1609404946 | Alexandra Kirsten Morton | Nurse Practitioner | 6565 S Yale Ave, Tulsa, OK 74136-8327 | 2020-03-31 |
| 1164060158 | Regeneration Nation LLC | Family Medicine | 6565 S Yale Ave, Tulsa, OK 74136-8327 | 2019-12-20 |
| 1740737121 | Jenna Aizenman | Nurse Practitioner | 6565 S Yale Ave, Suite 508, Tulsa, OK 74136-8327 | 2016-09-02 |
| 1083090229 | Ipa Tulsa Pllc | Clinic/Center | 6565 S Yale Ave, Suite 505, Tulsa, OK 74136-8327 | 2015-08-10 |
| 1396093647 | Autum Michole Caldwell | Physician Assistant | 6565 S Yale Ave, Suite 503, Tulsa, OK 74136-8327 | 2012-08-16 |
| 1649537176 | Mira Georgy | Internal Medicine | 6565 S Yale Ave, Suite 312, Tulsa, OK 74136-8327 | 2012-04-22 |
| 1336415173 | George Bryant Boyd | Family Medicine | 6565 S Yale Ave, Suite 1003, Tulsa, OK 74136-8327 | 2012-03-27 |
| 1689949778 | Happy Thoughts LLC | Clinic/Center | 6565 S Yale Ave, Suite 209, Tulsa, OK 74136-8327 | 2012-03-21 |
| 1710270905 | Total Care Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6565 S Yale Ave, Ste 901, Tulsa, OK 74136-8327 | 2011-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245334739 | Steve E Rose | Pathology | 8803 S. 101st E. Ave, Suite 360, Tulsa, OK 74133 | 2006-09-12 |
| 1013939305 | Michael R. Harvey Jr. | Pathology | 1923 S. Utica Ave, Tulsa, OK 74104 | 2006-07-24 |
| 1730169350 | Sean L Smith | Pathology | 4142 S Mingo Rd, Tulsa, OK 74146-3632 | 2006-01-19 |
| 1265787758 | Erica Syklawer Kumar | Pathology | 4142 S Mingo Rd, Tulsa, OK 74146 | 2012-07-20 |
| 1275815847 | Anatomic Pathology Services Inc | Pathology | 1120 S Utica Ave, 3rd Flr, Pathology Dept., Tulsa, OK 74104-4012 | 2011-09-09 |
| 1679891840 | Adam Joseph Hoffhines | Pathology | 4142 S Mingo Rd, Tulsa, OK 74146-3632 | 2010-05-12 |
| 1952539124 | Caitlin O'toole Schein | Pathology | 4142 S Mingo Rd, Tulsa, OK 74146-3632 | 2009-06-26 |
| 1376790329 | Kanwaljit Singh Aulakh | Pathology | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2008-08-21 |
| 1063676096 | Sarah G Mcginn | Pathology | 4142 S Mingo Rd, Tulsa, OK 74146-3632 | 2008-07-18 |
| 1902068265 | Southwest Pathology Associates LLC | Pathology | 8803 S 101st E Ave, Tulsa, OK 74133 | 2008-06-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.