DIAGNOSTIC LABORATORY OF OKLAHOMA LLC


Address: 200 2nd Ave Sw, Miami, OK 74354-6830
Phone: 9185426611

DIAGNOSTIC LABORATORY OF OKLAHOMA LLC (NPI# 1255514329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255514329
Entity Type Organization
Organization Name DIAGNOSTIC LABORATORY OF OKLAHOMA LLC
Other Organization Name BAPTIST REGIONAL HEALTH CENTER
Practice Address 200 2nd Ave Sw
Miami
OK 74354-6830
Mailing Address 2750 Monroe Blvd
Eagleville
PA 19403-2429
Practice Telephone 9185426611
Mailing Telephone 4846767000
Enumeration Date 2007-12-12
Last Update Date 2018-12-11
Authorized Official Name LEO SELL (CONTROLLER)
Authorized Official Telephone 4056086298
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 37D0667302 OK Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
OK 100758750P 05

Other Provider/Organization Names

Other Name Type Code
Baptist Regional Health Center Other Name - Individual/Organization

Other Provider IDs and Locations

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
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

Other Data Sources

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

Office Location

Street Address 200 2ND AVE SW
City MIAMI
State OK
Zip Code 74354-6830

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295712420 Jean Gabriel Richard Nurse Anesthetist, Certified Registered 200 2nd Ave Sw, Miami, OK 74354-6830 2005-12-29
1285134825 Baptist Healthcare of Oklahoma, LLC Pharmacy 200 2nd Ave Sw, Miami, OK 74354-6830 2018-02-20
1104336536 Derekka Alyse Dillon Nurse Practitioner 200 2nd Ave Sw, Miami, OK 74354-6830 2017-10-12
1760924195 Robyn Callaway Social Worker 200 2nd Ave Sw, Miami, OK 74354-6830 2016-11-16
1255715686 Justin Mitchell Family Medicine 200 2nd Ave Sw, Miami, OK 74354-6830 2015-07-15
1558797332 Alfred W Maina Nurse Anesthetist, Certified Registered 200 2nd Ave Sw, Miami, OK 74354-6830 2013-09-24
1770915746 April Wheeler Occupational Therapist 200 2nd Ave Sw, Miami, OK 74354 2013-08-01
1124462171 Geoffrey Benjamin Hauger Psychiatry & Neurology 200 2nd Ave Sw, Miami, OK 74354 2013-04-22
1811241755 Joey Shane Adams Nurse Anesthetist, Certified Registered 200 2nd Ave Sw, Miami, OK 74354-6830 2012-10-30
1992061352 Brittany M Turner Nurse Anesthetist, Certified Registered 200 2nd Ave Sw, Miami, OK 74354-6830 2012-04-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447786603 Coal Creek Counseling, LLC Social Worker 204 D St Ne, Miami, OK 74354 2017-05-10
1164958567 Yco Tulsa, Inc Counselor 1458 E Steve Owens Blvd, Miami, OK 74354 2017-05-04
1982064226 Yco Tulsa, Inc Clinic/Center 1519 E Steve Owens Blvd, Miami, OK 74354 2016-02-29
1548641285 Courtney Marie Winfrey Occupational Therapy Assistant 310 2nd Ave Sw Fl 3, Miami, OK 74354 2015-06-17
1417338039 Michelle Dawn Johnson Case Manager/Care Coordinator 1519 E. Steve Owens Blvd, Miami, OK 74354 2015-06-10
1790100337 Jordan Taylor-threet Speech-Language Pathologist 2225 N. Main St., Miami, OK 74354 2014-02-19
1700137551 Miami Healthcare, LLC Skilled Nursing Facility 2530 North Elm St., Miami, OK 74354 2012-09-19
1144507534 Julia Brown Pharmacist 11 West Central, Miami, OK 74354 2011-11-14
1841504685 Dodie A Giles Keith Counselor 33 C Street Northeast, Miami, OK 74354 2010-08-04
1013221571 Katherine Renee Burke Counselor 111 S. Treaty Rd., Miami, OK 74354 2010-07-27
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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1649830613 Caledonia Derm-path LLC Clinical Medical Laboratory 7091 Sw 47th St, Miami, FL 33155-4652 2019-06-20
1649765660 Spark Inspiration Laboratory LLC Clinical Medical Laboratory 101 Ne 54th St, Miami, FL 33137-2415 2018-06-22
1003263567 Sherice Malagon-king Clinical Medical Laboratory 13727 Sw 152nd St # 647, Miami, FL 33177-1106 2016-05-15
1295199446 Igea Research Corporation Clinical Medical Laboratory 2600 Sw 3rd Ave, Suite 350, Miami, FL 33129-2330 2016-04-13
1841652666 University of Miami Clinical Medical Laboratory 1400 Nw 12th Ave Fl 4, Miami, FL 33136-1003 2016-03-22
1811367386 Salud Clinical Medical Laboratory 13212 Sw 127th Ct, Miami, FL 33186-6362 2015-09-28
1427472844 Excellent Laboratories Inc Clinical Medical Laboratory 7290 Sw 42 Street, Miami, FL 33155 2014-02-05
1376887117 Idalia M Santaella Md LLC Clinical Medical Laboratory 2307 Douglas Rd, Suite 203, Miami, FL 33145-3056 2012-11-17
1619246261 Tc Foundation, Inc Clinical Medical Laboratory 7805 Coral Way Ste 110, Miami, FL 33155-6539 2011-12-27
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Competitor

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City MIAMI
Zip Code 74354

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Dataset Information

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.

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