WELLNESS LABS, LLC


Address: 5272 S Lewis Ave Ste 120, Tulsa, OK 74105-6563
Phone: 9183102200

WELLNESS LABS, LLC (NPI# 1366089633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366089633
Entity Type Organization
Organization Name WELLNESS LABS, LLC
Practice Address 5272 S Lewis Ave Ste 120
Tulsa
OK 74105-6563
Practice Telephone 9183102200
Practice Fax Number 9183102201
Mailing Telephone 9183102200
Mailing Fax Number 9183102201
Enumeration Date 2019-12-05
Last Update Date 2019-12-05
Authorized Official Name KARIN LOUDERMILK (MANAGING MEMBER, OWNER)
Authorized Official Telephone 9186883757
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Office Location

Street Address 5272 S LEWIS AVE STE 120
City TULSA
State OK
Zip Code 74105-6563

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1326424573 Evelyn J Fennell Nurse's Aide 1143 E 57th Place, Tulsa, OK 74105 2015-08-10
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1336556745 Certigen Laboratory, LLC Clinical Medical Laboratory 9309 S Toledo Ave, Suite A, Tulsa, OK 74137-2752 2014-07-17
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
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City TULSA
Zip Code 74105

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Dataset Information

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.

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