MED-LABS LLC (NPI# 1215172804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215172804 |
| Entity Type | Organization |
| Organization Name | MED-LABS LLC |
| Other Organization Name | PIC MED OF OKLAHOMA |
| Practice Address |
11014 E 51st St Tulsa OK 74146-5820 |
| Practice Telephone | 9184385005 |
| Practice Fax Number | 9184385010 |
| Mailing Telephone | 9184385005 |
| Mailing Fax Number | 9184385010 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2009-12-21 |
| Authorized Official Name | SHARON SMALLWOOD (MEDICAL REVIEW OFFICER) |
| Authorized Official Telephone | 9187797400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
20783 | OK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pic Med of Oklahoma | Doing Business As Name - Organization |
| Street Address |
11014 E 51ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74146-5820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
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| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1720427784 | Gio, Pllc | Clinic/Center | 2025 E 71st St, Tulsa, OK 74136-5416 | 2013-06-22 |
| 1366694846 | Concentra Health Services, Inc. | Clinic/Center | 1541 North Sheridan Road, Tulsa, OK 74115-4610 | 2008-10-16 |
| 1982853925 | Concentra Health Services, Inc. | Clinic/Center | 5682 W. Skelly Drive, Tulsa, OK 74107 | 2008-09-15 |
| 1427207463 | Concentra Health Services, Inc. | Clinic/Center | 9515 E. 51st Street, Suite G, Tulsa, OK 74145 | 2008-09-15 |
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| 1992008072 | Arthritis & Rheumatology Center of Oklahoma | Clinic/Center | 1111 N Lee Ave Ste 249, Oklahoma City, OK 73103-2600 | 2010-12-13 |
| 1598072050 | Health Watch Medical Center | Clinic/Center | 1924 N Portland Ave, Oklahoma City, OK 73107-1532 | 2010-09-04 |
| 1922313972 | Clear Focus Cv Ultrasound Services | Clinic/Center | 502 Oak, Ardmore, OK 73401-3830 | 2010-08-15 |
| 1316105844 | Taf Ancillary Medical Services Co | Clinic/Center | 300 W Osage St, Cleveland, OK 74020-4609 | 2008-05-31 |
| 1841461407 | Swifts | Clinic/Center | 410 W Main, Barnsdall, OK 74002-0410 | 2008-03-21 |
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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.