VASCULAR DISEASE LABORATORY (NPI# 1346353877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346353877 |
| Entity Type | Organization |
| Organization Name | VASCULAR DISEASE LABORATORY |
| Practice Address |
2000 E 15th St Ste. 300b Edmond OK 73013-6697 |
| Practice Telephone | 4053305755 |
| Mailing Telephone | 4053305755 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KEITH MULLINS (OWNER) |
| Authorized Official Telephone | 4053305755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | OK | Laboratories |
| Street Address |
2000 E 15TH ST STE. 300B |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-6697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851369177 | Sharon M Mullins | Psychologist | 2000 E 15th St, Bldg 100f, Edmond, OK 73013-6697 | 2006-03-11 |
| 1962895631 | Stanbro Healthcare Group LLC | Pharmacy | 2000 E 15th St, Suite 400c, Edmond, OK 73013-6697 | 2015-03-05 |
| 1184048738 | Selene Parker | Counselor | 2000 E 15th St, Building 100, Suite F, Edmond, OK 73013-6697 | 2014-02-18 |
| 1528408937 | Regina Maria Wheeler | Clinical Nurse Specialist | 2000 E 15th St, Suite 400, Edmond, OK 73013-6697 | 2013-06-29 |
| 1265701676 | Snb, LLC Dba Personal Health Partners | Clinical Medical Laboratory | 2000 E 15th St, Suite 300b, Edmond, OK 73013-6697 | 2011-12-14 |
| 1942592886 | Stanbro Healthcare Group LLC | Psychiatry & Neurology | 2000 E 15th St, Suite 400-a, Edmond, OK 73013-6697 | 2011-05-11 |
| 1871891853 | Jonathan B Roth LLC | Pediatrics | 2000 E 15th St, 150a, Edmond, OK 73013-6697 | 2011-03-01 |
| 1740511500 | Erin Beth Lucas | Physician Assistant | 2000 E 15th St, Suite 400a, Edmond, OK 73013-6697 | 2010-01-19 |
| 1942452768 | Krista Marie Jones | Dentist | 2000 E 15th St, Bldg. 200, Edmond, OK 73013-6697 | 2008-10-13 |
| 1164681458 | Delmar Gheen Md | General Practice | 2000 E 15th St, Building 150 Suite C, Edmond, OK 73013-6697 | 2008-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
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| 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 |
|---|---|---|---|---|
| 1790206043 | Dax Laboratories | Clinical Medical Laboratory | 17316 N May Ave Unit B, Edmond, OK 73012-9112 | 2017-06-27 |
| 1245402569 | Quality Sleep Specialists, LLC | Clinical Medical Laboratory | 609 S Kelly Ave Ste B1, Edmond, OK 73003-5725 | 2008-03-26 |
| 1477538106 | Laboratory Corporation of America | Clinical Medical Laboratory | 523 S Santa Fe, Suite B, Edmond, OK 73003-0000 | 2005-12-15 |
| 1578918249 | Peak Laboratories, LLC | Clinical Medical Laboratory | 16502 N Pennsylvania Ave, Ste B, Edmond, OK 73012-9125 | 2016-04-29 |
| 1265701676 | Snb, LLC Dba Personal Health Partners | Clinical Medical Laboratory | 2000 E 15th St, Suite 300b, Edmond, OK 73013-6697 | 2011-12-14 |
| 1407136674 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 4801 Integris Pkwy, Edmond, OK 73034-8864 | 2011-08-19 |
| 1447280474 | Heartland Pathology Consultants, PC | Clinical Medical Laboratory | 3509 French Park Dr, Suite D, Edmond, OK 73034-7296 | 2006-07-04 |
| 1629053020 | Laboratory Corporation of America | Clinical Medical Laboratory | 1800 Renaissance Blvd, Edmond, OK 73013-3023 | 2005-12-08 |
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|---|---|---|---|---|
| 1427657360 | Chrom Medical Labs | Clinical Medical Laboratory | 12816 S Memorial Dr Unit 121, Bixby, OK 74008-2593 | 2020-10-21 |
| 1043835143 | Qitek Labs of Oklahoma, LLC | Clinical Medical Laboratory | 3636 Nw 63rd St Ste C, Oklahoma City, OK 73116-2011 | 2020-06-15 |
| 1790307395 | Arc Diagnostics, LLC | Clinical Medical Laboratory | 8551 N 125th East Ave Ste 150, Owasso, OK 74055-2110 | 2020-05-18 |
| 1487275699 | Stateline Medical Lab LLC | Clinical Medical Laboratory | 105 N Pocola Blvd Ste 2, Pocola, OK 74902-3101 | 2020-04-28 |
| 1417583162 | Imaginus Diagnostic Laboratory LLC | Clinical Medical Laboratory | 17673 Us Highway 271, Spiro, OK 74959-5300 | 2020-03-13 |
| 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 |
| 1881178010 | Progentec Diagnostics Inc. | Clinical Medical Laboratory | 825 Ne 13th St Ste Mc302.4, Oklahoma City, OK 73104-5005 | 2018-09-24 |
| 1891280541 | Wellness Federal Labs, LLC | Clinical Medical Laboratory | 5272 S Lewis Ave Ste 121, Tulsa, OK 74105-6563 | 2018-06-26 |
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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.