DIAGNOSTIC LABORATORY OF OKLAHOMA LLC (NPI# 1194903013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194903013 |
Entity Type | Organization |
Organization Name | DIAGNOSTIC LABORATORY OF OKLAHOMA LLC |
Other Organization Name | INTEGRIS BASS BAPTIST HEALTH CENTER |
Practice Address |
600 S Monroe St Enid OK 73701-7211 |
Mailing Address |
1201 S Collegeville Rd Collegeville PA 19426-2998 |
Practice Telephone | 5805481185 |
Mailing Telephone | 8666978378 |
Enumeration Date | 2008-02-01 |
Last Update Date | 2018-12-11 |
Authorized Official Name | LEO SELL (CONTROLLER) |
Authorized Official Telephone | 4056086298 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 37D0472533 | OK | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 37D0472533 | 05 |
Other Name | Type Code |
---|---|
Integris Bass Baptist Health 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 |
1134307044 | Diagnostic Laboratory of Oklahoma LLC | Clinical Medical Laboratory | 111 N Bailey St, Pryor, OK 74361-4201 | 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 |
600 S MONROE ST |
City | ENID |
State | OK |
Zip Code | 73701-7211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457350597 | John R Hooper | Anesthesiology | 600 S Monroe St, Enid, OK 73701-7211 | 2005-07-20 |
1699383463 | Integris Bass Baptist Health Center | Pediatrics | 600 S Monroe St, Enid, OK 73701-7211 | 2020-07-17 |
1730719105 | Osu Center for Health Sciences | Clinic/Center | 600 S Monroe St, Enid, OK 73701-7211 | 2020-01-24 |
1851942783 | Krystabel Annette Snodgrass | Nurse Practitioner | 600 S Monroe St, Enid, OK 73701-7211 | 2019-09-23 |
1972955292 | Osu Center for Health Sciences | Clinic/Center | 600 S Monroe St, Enid, OK 73701-7211 | 2016-07-11 |
1407203458 | Nancye Turner | Lactation Consultant, Non-RN | 600 S Monroe St, Enid, OK 73701-7211 | 2016-05-19 |
1295108330 | Linda Suderman | Registered Nurse | 600 S Monroe St, Enid, OK 73701-7211 | 2015-11-11 |
1619302635 | Osu Center for Health Sciences | Clinic/Center | 600 S Monroe St, Enid, OK 73701-7211 | 2013-09-10 |
1659645166 | Oncology Consultants of Northwest Oklahoma P.C. | Radiology | 600 S Monroe St, Rad Onc Dept., Enid, OK 73701-7211 | 2012-03-01 |
1982920708 | Best Chen | Family Medicine | 600 S Monroe St, Enid, OK 73701-7211 | 2010-04-19 |
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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 |
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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 |
1528109964 | Nw Oklahoma Pathologists Inc | Clinical Medical Laboratory | 330 S 5th St, Suite 100, Enid, OK 73701-5825 | 2007-02-09 |
1003908526 | Family Medical Lab, Inc. | Clinical Medical Laboratory | 915 E Owen K Garriott Rd, Suite E, Enid, OK 73701-6156 | 2006-09-29 |
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.