CERTIGEN LABORATORY, LLC (NPI# 1336556745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336556745 |
| Entity Type | Organization |
| Organization Name | CERTIGEN LABORATORY, LLC |
| Practice Address |
9309 S Toledo Ave Suite A Tulsa OK 74137-2752 |
| Mailing Address |
Po Box 722143 Norman OK 73070-8624 |
| Practice Telephone | 9189603150 |
| Practice Fax Number | 9189603154 |
| Mailing Telephone | 9189603150 |
| Mailing Fax Number | 9189603154 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2019-04-09 |
| Authorized Official Name | KIMBERLY KAY KIMREY (OPERATIONS MANAGER) |
| Authorized Official Telephone | 9189603150 |
| Authorized Official Credential | MT(ASCP) |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 37D2075661 | OK | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | CERTIGEN LABORATORY, LLC | 9308 S Toledo, Tulsa, OK 74137 |
| Street Address |
9309 S TOLEDO AVE SUITE A |
| City | TULSA |
| State | OK |
| Zip Code | 74137-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
| 1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
| 1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
| 1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
| 1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
| 1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
| 1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
| 1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
| 1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
| Find all providers in zip 74137 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366089633 | Wellness Labs, LLC | Clinical Medical Laboratory | 5272 S Lewis Ave Ste 120, Tulsa, OK 74105-6563 | 2019-12-05 |
| 1669021622 | National Laboratory Corporation | Clinical Medical Laboratory | 5805 E 15th St Ste 104, Tulsa, OK 74112-6401 | 2019-09-11 |
| 1720636806 | Axiom Biogenomics, LLC | Clinical Medical Laboratory | 7335 S Lewis Ave Ste 120, Tulsa, OK 74136-6830 | 2019-08-31 |
| 1891280541 | Wellness Federal Labs, LLC | Clinical Medical Laboratory | 5272 S Lewis Ave Ste 121, Tulsa, OK 74105-6563 | 2018-06-26 |
| 1225579915 | Cogent Medical Lab LLC | Clinical Medical Laboratory | 6914 S Yorktown Ave Ste 110, Tulsa, OK 74136-3933 | 2017-03-14 |
| 1982150231 | Taylum Medical LLC | Clinical Medical Laboratory | 3144 S Winston Ave, Tulsa, OK 74135-2012 | 2016-08-28 |
| 1326495433 | Oklahoma State University | Clinical Medical Laboratory | 1111 W 17th St # A-220, Tulsa, OK 74107-1886 | 2016-05-18 |
| 1578978573 | Precision Analysis Laboratory, LLC | Clinical Medical Laboratory | 2811 E 15th St, Suite 102, Tulsa, OK 74104-5245 | 2014-06-27 |
| 1700213667 | Caldwell Toxicology Labs LLC | Clinical Medical Laboratory | 7133 Riverside Parkway, Suite A, Tulsa, OK 74136 | 2013-10-08 |
| 1912242231 | Respiratory Diagnostic Services | Clinical Medical Laboratory | 2561 E 22nd St, Tulsa, OK 74114-3120 | 2012-11-28 |
| Find all providers in TULSA | ||||
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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.