OKLAHOMA STATE UNIVERSITY (NPI# 1326495433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326495433 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA STATE UNIVERSITY |
| Other Organization Name | OSU CLINICAL LABORATORY |
| Practice Address |
1111 W 17th St # A-220 Tulsa OK 74107-1886 |
| Mailing Address |
2401 Southwest Blvd Tulsa OK 74107-2726 |
| Practice Telephone | 9185611440 |
| Practice Fax Number | 9185611173 |
| Mailing Telephone | 9185615701 |
| Mailing Fax Number | 9185611173 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | SAMANTHA KAY OVERFIELD (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Telephone | 9185615714 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200608290C | 05 | |
| C L I A | 37D109477 | 01 |
| Other Name | Type Code |
|---|---|
| OSU Clinical Laboratory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679872535 | Oklahoma State University | Community/Behavioral Health | 101 Hes-west, Oklahoma State University, Stillwater, OK 74078-6122 | 2011-03-17 |
| 1104294818 | Oklahoma State University | Clinic/Center | 744 W 9th St, Tulsa, OK 74127-9020 | 2015-09-11 |
| 1063681104 | Oklahoma State University | Physical Therapist | 170 Athletics Center, Stillwater, OK 74078-0001 | 2008-02-22 |
| 1598827776 | Oklahoma State University | Clinic/Center | 1202 W Farm Rd, Stillwater, OK 74078-2036 | 2006-12-14 |
| 1700994878 | Oklahoma State University | Audiologist | 042 Murray, Stillwater, OK 74078 | 2006-08-28 |
| 1306882261 | Oklahoma State University | Clinic/Center | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2006-06-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OKLAHOMA STATE UNIVERSITY | 401 Whitehurst Hall, Stillwater, OK 74078-1030 |
| System for Award Management (SAM) Entities | OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | 744 W 9th St, Tulsa, OK 74127-9020 |
| Oklahoma Business Registrations | OKLAHOMA STATE UNIVERSITY MEDICAL CENTER TRUST | *********, ** ****** |
| Oklahoma Business Registrations | OKLAHOMA STATE UNIVERSITY MEDICAL TRUST | 744 W 9th St, Tulsa, OK 74127 |
| Street Address |
1111 W 17TH ST # A-220 |
| City | TULSA |
| State | OK |
| Zip Code | 74107-1886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508493784 | Squareone Compassion Inc | Clinic/Center | 5323 South 65th West Avenue, Tulsa, OK 74107 | 2020-03-26 |
| 1649772476 | Lauren Michele Rogers | Student in an Organized Health Care Education/Training Program | 1111 W. 17th St., Barson 241, Tulsa, OK 74107 | 2018-03-07 |
| 1336641828 | Frank Patrick Goodman | Student in an Organized Health Care Education/Training Program | 2345 Sw Blvd, Tulsa, OK 74107 | 2018-03-01 |
| 1659827269 | Careatc - America Waste | Clinic/Center | 23322 Southwest Blvd, Tulsa, OK 74107 | 2016-09-01 |
| 1538530886 | Jeremy Michael Bowles | Pharmacist | 4227 Southwest Boulevard, Tulsa, OK 74107 | 2015-10-13 |
| 1760725865 | Nicholas Alexander | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd., Osu Health Care Center, Tulsa, OK 74107 | 2013-03-27 |
| 1295095321 | Robert Steven Wedding | Counselor | 6033 S. 31 St. West Ave., Tulsa, OK 74107 | 2012-05-23 |
| 1295911451 | American Current Care P.a. | Clinic/Center | 5682 W Skelly Drive, Tulsa, OK 74107 | 2008-01-17 |
| 1821200072 | Leeca Jenkins | Counselor | 2007 W. 57th St, Tulsa, OK 74107 | 2007-05-03 |
| 1477670552 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 5682 W. Skelly Drive, Tulsa, OK 74107 | 2007-03-23 |
| Find all providers in zip 74107 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1891280541 | Wellness Federal Labs, LLC | Clinical Medical Laboratory | 5272 S Lewis Ave Ste 121, Tulsa, OK 74105-6563 | 2018-06-26 |
| 1225579915 | Cogent Medical Lab LLC | Clinical Medical Laboratory | 6914 S Yorktown Ave Ste 110, Tulsa, OK 74136-3933 | 2017-03-14 |
| 1982150231 | Taylum Medical LLC | Clinical Medical Laboratory | 3144 S Winston Ave, Tulsa, OK 74135-2012 | 2016-08-28 |
| 1336556745 | Certigen Laboratory, LLC | Clinical Medical Laboratory | 9309 S Toledo Ave, Suite A, Tulsa, OK 74137-2752 | 2014-07-17 |
| 1578978573 | Precision Analysis Laboratory, LLC | Clinical Medical Laboratory | 2811 E 15th St, Suite 102, Tulsa, OK 74104-5245 | 2014-06-27 |
| 1700213667 | Caldwell Toxicology Labs LLC | Clinical Medical Laboratory | 7133 Riverside Parkway, Suite A, Tulsa, OK 74136 | 2013-10-08 |
| 1912242231 | Respiratory Diagnostic Services | Clinical Medical Laboratory | 2561 E 22nd St, Tulsa, OK 74114-3120 | 2012-11-28 |
| Find all providers in TULSA | ||||
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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.