DIAGNOSTIC LABORATORY OF OKLAHOMA LLC (NPI# 1346428893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346428893 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC LABORATORY OF OKLAHOMA LLC |
| Other Organization Name | INTEGRIS SOUTHWEST MEDICAL CENTER |
| Practice Address |
4401 S Western Ave Oklahoma City OK 73109-3413 |
| Mailing Address |
1201 S Collegeville Rd Collegeville PA 19426-2998 |
| Practice Telephone | 4056367041 |
| Mailing Telephone | 8666978378 |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2018-12-11 |
| Authorized Official Name | LEO SELL (CONTROLLER) |
| Authorized Official Telephone | 4056086298 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIAGNOSTIC LABORATORY OF OKLAHOMA LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 37D0470622 | OK | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100758750J | 05 |
| Other Name | Type Code |
|---|---|
| Integris Southwest Medical Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356443741 | Diagnostic Laboratory of Oklahoma LLC | Clinical Medical Laboratory | 225 Ne 97th St Suite 1000, Cytology Department, Oklahoma City, OK 73114-7408 | 2006-09-05 |
| 1770529513 | Diagnostic Laboratory of Oklahoma LLC | Clinical Medical Laboratory | 225 Ne 97th Street, Oklahoma City, OK 73114 | 2006-06-21 |
| 1285057455 | Diagnostic Laboratory of Oklahoma LLC | Clinical Medical Laboratory | 3300 Nw Expressway, Hla Laboratory 2nd Floor #2259, Oklahoma City, OK 73112-4462 | 2014-01-24 |
| 1750569661 | Diagnostic Laboratory of Oklahoma LLC | Clinical Medical Laboratory | 1201 Health Center Pkwy, Laboratory, Yukon, OK 73099-6381 | 2008-02-01 |
| 1093993917 | Diagnostic Laboratory of Oklahoma LLC | Clinical Medical Laboratory | 1 Hospital Drive, Madill, OK 73446-0827 | 2008-02-01 |
| 1376721290 | Diagnostic Laboratory of Oklahoma LLC | Clinical Medical Laboratory | 710 S 13th St, Blackwell, OK 74631-3700 | 2008-02-01 |
| 1134307044 | Diagnostic Laboratory of Oklahoma LLC | Clinical Medical Laboratory | 111 N Bailey St, Pryor, OK 74361-4201 | 2008-02-01 |
| 1194903013 | Diagnostic Laboratory of Oklahoma LLC | Clinical Medical Laboratory | 600 S Monroe St, Enid, OK 73701-7211 | 2008-02-01 |
| 1003094913 | Diagnostic Laboratory of Oklahoma LLC | Clinical Medical Laboratory | 100 N 30th St, Suite Laboratory, Clinton, OK 73601-3117 | 2008-02-01 |
| 1669659850 | Diagnostic Laboratory of Oklahoma LLC | Clinical Medical Laboratory | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2008-01-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIAGNOSTIC LABORATORY OF OKLAHOMA LLC | 225 Ne 97th St, Oklahoma City, OK 73114-6302 |
| Street Address |
4401 S WESTERN AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091511 | Ralph Oscar Shadid | Internal Medicine | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2005-08-29 |
| 1255939245 | Osu Center for Health Scienses | Clinic/Center | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-10-13 |
| 1740898030 | Ashley Nicole Newberry | Occupational Therapist | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-07-22 |
| 1306461512 | Alicia Ablola Chaparro | Registered Nurse | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-06-12 |
| 1700408309 | Nina G Stevens | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-18 |
| 1174145767 | Jesse P Pandian | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-18 |
| 1578185435 | Robert William Soult | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-14 |
| 1669094579 | Tyler L Woolum | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-13 |
| 1588286546 | Landon Riesenberg | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-13 |
| 1225650138 | Shelby Tripod | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| 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 |
|---|---|---|---|---|
| 1043835143 | Qitek Labs of Oklahoma, LLC | Clinical Medical Laboratory | 3636 Nw 63rd St Ste C, Oklahoma City, OK 73116-2011 | 2020-06-15 |
| 1881178010 | Progentec Diagnostics Inc. | Clinical Medical Laboratory | 825 Ne 13th St Ste Mc302.4, Oklahoma City, OK 73104-5005 | 2018-09-24 |
| 1912444746 | Bison Diagnostics LLC | Clinical Medical Laboratory | 13301 N Meridian Ave Ste 704b, Oklahoma City, OK 73120-9369 | 2017-01-31 |
| 1134585946 | Tribal Diagnostics, LLC | Clinical Medical Laboratory | 3600 S Lakeside Dr, Oklahoma City, OK 73179-8441 | 2016-01-08 |
| 1245657675 | Performance Laboratories LLC | Clinical Medical Laboratory | 500 North Walker Avenue, Suite 150, Oklahoma City, OK 73102-1657 | 2014-03-24 |
| 1073936183 | Analytical Edge Laboratories LLC | Clinical Medical Laboratory | 120 Ne 26th St, Oklahoma City, OK 73105-2705 | 2014-01-24 |
| 1316388804 | Delta Laboratory, LLC | Clinical Medical Laboratory | 300 N Meridian Ave Ste 100-s, Oklahoma City, OK 73107-6560 | 2013-07-11 |
| 1467797860 | Apsp-south Okc, LLC | Clinical Medical Laboratory | 10307 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2012-12-11 |
| 1083959134 | Nikenya Cox | Clinical Medical Laboratory | 1807 N Minnie Ln Apt D, Oklahoma City, OK 73127-2537 | 2012-11-30 |
| 1316291784 | Aa Spine | Clinical Medical Laboratory | 1145 W I 240 Service Rd Bldg I, Suite 100, Oklahoma City, OK 73139-2171 | 2012-11-06 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
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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.