LITHO OF AMERICA, LLC (NPI# 1700012614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700012614 |
| Entity Type | Organization |
| Organization Name | LITHO OF AMERICA, LLC |
| Other Organization Name | LOA MOBILE MEDICAL SERVICES |
| Practice Address |
3637 E. I-240 Business Park Oklahoma City OK 73135 |
| Practice Telephone | 8004754661 |
| Practice Fax Number | 8777692350 |
| Mailing Telephone | 8004754661 |
| Mailing Fax Number | 8777692350 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2014-05-01 |
| Authorized Official Name | MR. LARRY W. MCELRATH (DIRECTOR OF MEDICAL OPERATIONS) |
| Authorized Official Telephone | 4058264005 |
| Is Organization Subpart | Y |
| Parent Organization Name | LITHO OF AMERICA, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 261QL0400X |
Clinic/Center Specialization: Lithotripsy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LOA Mobile Medical Services | Doing Business As Name - Organization |
| Street Address |
3637 E. I-240 BUSINESS PARK |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182065 | Ifeoluwa Ochuwa Idode | Case Manager/Care Coordinator | 8135 Bigwood Drive, Oklahoma City, OK 73135 | 2020-10-19 |
| 1295359248 | Optimum Complete Care, Pllc | Emergency Medicine | 5200 E. Interstate 240 Service Rd., Oklahoma City, OK 73135 | 2020-06-05 |
| 1649802117 | Everest Rehabilitation Hospital Okc, LLC | Rehabilitation Hospital | 7900 Midamerica Blvd, Oklahoma City, OK 73135 | 2020-02-12 |
| 1225592496 | Crimson Spire Pharmacy | Pharmacy | 5600 S.e. 67 Str, Suite A, Okc, OK 73135 | 2019-01-22 |
| 1285174201 | Yizhen Elizabeth Liu | Student in an Organized Health Care Education/Training Program | 1040, 7050 S Air Depot Blvd, Tinker Afb, OK 73135 | 2017-02-24 |
| 1891149647 | Daniel Enriquez | General Practice | 1040 7050 S Air Depot Blvd, Oklahoma City, OK 73135 | 2016-04-18 |
| 1215302641 | Darryl English II | Case Management | 4328 S.e. 46th Street Apt#160, Oklahoma City, OK 73135 | 2015-12-10 |
| 1063838639 | Charles Lloyd Wilson | Hospitalist | Mercy South, 5200 E I-240 Service Road, Oklahoma City, OK 73135 | 2014-03-06 |
| 1669809877 | Bodyworx Physical Therapy, Pllc | Physical Therapist | 5617 S. E. 67th Street, Oklahoma City, OK 73135 | 2013-10-02 |
| 1578815262 | Kenyatta Lampley | Behavioral Analyst | 5712 Se 86th, Oklahoma City, OK 73135 | 2012-10-05 |
| Find all providers in zip 73135 | ||||
| Taxonomy Code | 261QL0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Lithotripsy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639618754 | Oklahoma Mobile Lithotripter Associates, L.c. | Clinic/Center | 5401 N Portland Ave, Suite 640, Oklahoma City, OK 73112-2121 | 2017-02-22 |
| City | OKLAHOMA CITY |
| Zip Code | 73135 |
Please comment or provide details below to improve the information on LITHO OF AMERICA, LLC.
| 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.