XYZ MEDICAL LLC (NPI# 1457769473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457769473 |
| Entity Type | Organization |
| Organization Name | XYZ MEDICAL LLC |
| Practice Address |
104 W Ohio Ave Ste 200 Coalgate OK 74538-2827 |
| Mailing Address |
4215 Beltwood Pkwy Ste 102 Dallas TX 75244-3235 |
| Practice Telephone | 9184237191 |
| Mailing Telephone | 9135471619 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | ABBY RANEY (VICE PRESIDENT, OPERATIONS) |
| Authorized Official Telephone | 9135471619 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6 N Covington St, Suite 102, Coalgate, OK 745382002 | 5809270483 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | XYZ MEDICAL LLC | 302 E Court Street, Atoka, OK 74525 |
| Street Address |
104 W OHIO AVE STE 200 |
| City | COALGATE |
| State | OK |
| Zip Code | 74538-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982825758 | Regina Baker | Lodging | 205 W Cedar, Coalgate, OK 74538 | 2007-05-01 |
| 1447478763 | Tracy Mowdy Penney | Speech-Language Pathologist | Coal County General Hospital, Pt Dept, 6 North Covington, Coalgate, OK 74538 | 2007-04-23 |
| 1972679074 | Coalgate Dental Clinic PC | Dentist | 405 W Clay, Coalgate, OK 74538 | 2006-11-28 |
| 1609847573 | Cottonwood Public School | Public Health or Welfare | Lubbis St, 2 Mi Ne of Coalgate Ok On State Hwy 31, Cottonwood, OK 74538-0347 | 2006-01-30 |
| 1578603577 | Coalgate Public School | Local Education Agency (LEA) | 3 West Cedar, Coalgate, OK 74538-0368 | 2007-02-07 |
| 1609359181 | Jamie Niccole Smith | Case Manager/Care Coordinator | 709 S Arno St, Coalgate, OK 74538-1616 | 2018-09-11 |
| 1063896116 | Justin Farris | Counselor | 404 W Cedar Ave, Coalgate, OK 74538-1813 | 2015-07-17 |
| 1639178130 | Coal County Extended Care Incorporated | Skilled Nursing Facility | 7 N Covington St, Coalgate, OK 74538-2001 | 2005-07-18 |
| 1629077227 | Coal County General Hospital | General Acute Care Hospital | 6 N Covington St, Coalgate, OK 74538-2002 | 2005-07-18 |
| 1730357922 | Coal County General Hospital | Medicare Defined Swing Bed Unit | 6 N Covington St, Coalgate, OK 74538-2002 | 2008-02-11 |
| Find all providers in zip 74538 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.