PERFORMANCE LABORATORIES LLC (NPI# 1245657675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245657675 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE LABORATORIES LLC |
| Practice Address |
500 North Walker Avenue Suite 150 Oklahoma City OK 73102-1657 |
| Practice Telephone | 4056017100 |
| Practice Fax Number | 4056017180 |
| Mailing Telephone | 4056017100 |
| Mailing Fax Number | 4056017180 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | SAMIYA MUSTAFA (OWNER/CEO) |
| Authorized Official Telephone | 7705572323 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
500 NORTH WALKER AVENUE SUITE 150 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73102-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
| 1013434117 | Mark Jeffrey Allison I | Case Manager/Care Coordinator | 400 North Walker Avenue, Suite 190, Oklahoma City, OK 73102 | 2017-08-29 |
| 1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
| 1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
| 1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
| 1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
| 1356680078 | Dustin W Choate | Counselor | 101 Park Ave Ste 1300, Oklahoma City, OK 73102 | 2013-02-01 |
| 1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
| 1790092328 | Stephanie Brill | Counselor | 415 Nw 5th Street, Oklahoma City, OK 73102 | 2010-09-02 |
| 1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
| Find all providers in zip 73102 | ||||
| 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 |
|---|---|---|---|---|
| 1043835143 | Qitek Labs of Oklahoma, LLC | Clinical Medical Laboratory | 3636 Nw 63rd St Ste C, Oklahoma City, OK 73116-2011 | 2020-06-15 |
| 1881178010 | Progentec Diagnostics Inc. | Clinical Medical Laboratory | 825 Ne 13th St Ste Mc302.4, Oklahoma City, OK 73104-5005 | 2018-09-24 |
| 1912444746 | Bison Diagnostics LLC | Clinical Medical Laboratory | 13301 N Meridian Ave Ste 704b, Oklahoma City, OK 73120-9369 | 2017-01-31 |
| 1134585946 | Tribal Diagnostics, LLC | Clinical Medical Laboratory | 3600 S Lakeside Dr, Oklahoma City, OK 73179-8441 | 2016-01-08 |
| 1073936183 | Analytical Edge Laboratories LLC | Clinical Medical Laboratory | 120 Ne 26th St, Oklahoma City, OK 73105-2705 | 2014-01-24 |
| 1316388804 | Delta Laboratory, LLC | Clinical Medical Laboratory | 300 N Meridian Ave Ste 100-s, Oklahoma City, OK 73107-6560 | 2013-07-11 |
| 1467797860 | Apsp-south Okc, LLC | Clinical Medical Laboratory | 10307 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2012-12-11 |
| 1083959134 | Nikenya Cox | Clinical Medical Laboratory | 1807 N Minnie Ln Apt D, Oklahoma City, OK 73127-2537 | 2012-11-30 |
| 1316291784 | Aa Spine | Clinical Medical Laboratory | 1145 W I 240 Service Rd Bldg I, Suite 100, Oklahoma City, OK 73139-2171 | 2012-11-06 |
| 1194012344 | Apsp-san Antonio, LLC | Clinical Medical Laboratory | 2410 W Memorial Rd Ste C432, Oklahoma City, OK 73134-8047 | 2011-07-07 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73102 |
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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.