DIAGNOSTIC LABORATORY OF OKLAHOMA LLC (NPI# 1134307044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134307044 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC LABORATORY OF OKLAHOMA LLC |
| Other Organization Name | MAYES COUNTY MEDICAL CENTER |
| Practice Address |
111 N Bailey St Pryor OK 74361-4201 |
| Mailing Address |
2750 Monroe Blvd Norristown PA 19403-2429 |
| Practice Telephone | 9188256460 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |
| Authorized Official Name | G SCOTT CARTIER (VP NATIONAL BILLING) |
| Authorized Official Telephone | 4846767331 |
| 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 | OK | Laboratories |
| Other Name | Type Code |
|---|---|
| Mayes County 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 |
| 1346428893 | Diagnostic Laboratory of Oklahoma LLC | Clinical Medical Laboratory | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2008-02-07 |
| 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 |
| 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 |
111 N BAILEY ST |
| City | PRYOR |
| State | OK |
| Zip Code | 74361-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811987712 | Dawn M Lovins | Emergency Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2005-10-24 |
| 1053967083 | Sean Darrieus Grissett | Physical Therapy Assistant | 111 N Bailey St, Pryor, OK 74361-4201 | 2019-08-15 |
| 1942856042 | Daniel Stockton | Physical Therapy Assistant | 111 N Bailey St, Pryor, OK 74361-4201 | 2019-08-14 |
| 1841724473 | Scarbow Lake Emergency Physicians LLC | Emergency Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2017-04-20 |
| 1780125005 | Ahs Pryor Hospital, LLC | General Acute Care Hospital | 111 N Bailey St, Pryor, OK 74361-4201 | 2017-03-20 |
| 1902140718 | Oklahoma Emergency Physician Partners Pllc | Emergency Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2012-11-16 |
| 1861748576 | Mayes County Hmpn, LLC | Nurse Anesthetist, Certified Registered | 111 N Bailey St, Pryor, OK 74361-4201 | 2012-07-31 |
| 1922338425 | David Matthew White | Nurse Anesthetist, Certified Registered | 111 N Bailey St, Pryor, OK 74361-4201 | 2010-01-05 |
| 1013147248 | Saran Desiree Oliver | Internal Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2009-07-22 |
| 1841460714 | Annette Clair Mills | Nurse Anesthetist, Certified Registered | 111 N Bailey St, Pryor, OK 74361-4201 | 2008-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787928 | Ahs Pryor Hospital, LLC | Clinic/Center | 1301 Ne 1st St Ste 400, Pryor, OK 74361 | 2018-04-12 |
| 1073029310 | Amber Bowman | Registered Nurse | 109 N. Fairland, Pryor, OK 74361 | 2017-12-22 |
| 1922361096 | Crystal Noel Parrett | Counselor | 215 N. Fairland, Pryor, OK 74361 | 2012-06-22 |
| 1447516703 | Rocky Mountain Holdings LLC | Ambulance | 591 Airport Rd, Pryor, OK 74361 | 2012-04-11 |
| 1356673180 | Tressa Fern Rice | Speech-Language Pathologist | 510 S. Elliott St. Suite C, Mayes County Speech Therapy, Pryor, OK 74361 | 2010-02-04 |
| 1083945208 | Ladena Carol Moore | Counselor | 212 S E 1st, Pryor, OK 74361 | 2010-01-28 |
| 1164753323 | Anita K Sanders | Counselor | 212 Se 1st, Pryor, OK 74361 | 2010-01-27 |
| 1619203775 | Sandra Kay Runnells | Psychologist | 109 South Fairland, Suite 101, Pryor, OK 74361 | 2009-10-26 |
| 1972838969 | Ramona L Whitehurst | Advanced Practice Midwife | 1400 Willow Road, Pryor, OK 74361 | 2009-10-08 |
| 1396971297 | Shauna Leann Jackson | Speech-Language Pathologist | 510 S. Elliott, Suite C, Pryor, OK 74361 | 2009-06-05 |
| Find all providers in zip 74361 | ||||
| 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 |
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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.