FAMILY MEDICAL LAB, INC. (NPI# 1003908526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003908526 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL LAB, INC. |
| Practice Address |
915 E Owen K Garriott Rd Suite E Enid OK 73701-6156 |
| Practice Telephone | 5802332909 |
| Practice Fax Number | 5802332937 |
| Mailing Telephone | 5802332909 |
| Mailing Fax Number | 5802332937 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-02-02 |
| Authorized Official Name | MR. STAN LOUCKS (OWNER) |
| Authorized Official Telephone | 5802332909 |
| Authorized Official Credential | MT(ASCP),MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 37D0472553 | OK | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | PALMETO GBA RR MEDICARE | 690120393 | 01 |
| OK | 100758450A | 05 |
| Street Address |
915 E OWEN K GARRIOTT RD SUITE E |
| City | ENID |
| State | OK |
| Zip Code | 73701-6156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265498380 | Mike Glenn Nolen | Surgery | 915 E Owen K Garriott Rd, Enid, OK 73701-6156 | 2006-04-26 |
| 1164857181 | Osu Center for Health Sciences | Clinic/Center | 915 E Owen K Garriott Rd, Suite A, Enid, OK 73701-6156 | 2013-09-10 |
| 1609940857 | Osu Center for Health Sciences | Clinic/Center | 915 E Owen K Garriott Rd, Suite A, Enid, OK 73701-6156 | 2006-11-20 |
| 1649350158 | Gregory G Diel | Pharmacist | 915 E Owen K Garriott Rd, Enid, OK 73701-6156 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
| 1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
| 1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
| 1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
| 1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
| 1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
| 1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
| 1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
| 1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
| 1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
| Find all providers in zip 73701 | ||||
| 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 |
|---|---|---|---|---|
| 1740594605 | Intensive Care Inc | Clinical Medical Laboratory | 3517 W Owen K Garriott Rd Ste 5, Enid, OK 73703-4953 | 2010-08-03 |
| 1508207242 | St. Mary's Laboratory, LLC | Clinical Medical Laboratory | 3517 W Owen K Garriott Rd, Suite 5, Enid, OK 73703-4952 | 2013-07-10 |
| 1003089574 | Nw Oklahoma Pathologists-clinic | Clinical Medical Laboratory | 330 S 5th St, Enid, OK 73701-5825 | 2008-04-07 |
| 1194903013 | Diagnostic Laboratory of Oklahoma LLC | Clinical Medical Laboratory | 600 S Monroe St, Enid, OK 73701-7211 | 2008-02-01 |
| 1528109964 | Nw Oklahoma Pathologists Inc | Clinical Medical Laboratory | 330 S 5th St, Suite 100, Enid, OK 73701-5825 | 2007-02-09 |
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| 1790307395 | Arc Diagnostics, LLC | Clinical Medical Laboratory | 8551 N 125th East Ave Ste 150, Owasso, OK 74055-2110 | 2020-05-18 |
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| 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.