MID STAR LAB INC (NPI# 1588194054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588194054 |
| Entity Type | Organization |
| Organization Name | MID STAR LAB INC |
| Other Organization Name | MID STAR LAB, INC |
| Practice Address |
5480 Main St Ste 104 Del City OK 73115-5518 |
| Mailing Address |
1701 Commerce Rd Tonganoxie KS 66086-5369 |
| Practice Telephone | 9133698734 |
| Mailing Telephone | (913) 369-8734 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | KARI WAGNER (CEO) |
| Authorized Official Telephone | 9133698734 |
| Authorized Official Credential | C.PED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Mid Star Lab, Inc | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1941 S 42nd St, Omaha, NE 681052939 | 8446756757 | |
| 4001 Blue Pkwy, Kansas City, MO 641302349 | 8446756757 | |
| 5101 Sw 21st St, Topeka, KS 666044419 | 8446756757 | |
| 5480 Main St, Del City, OK 731155516 | 8446756757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336613298 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 401 Alvarado Dr Se, Albuquerque, NM 87108-2939 | 2019-01-14 |
| 1386166536 | Mid Star Lab Inc | Durable Medical Equipment & Medical Supplies | 4001 Blue Pkwy Ste 98, Kansas City, MO 64130-2315 | 2017-07-10 |
| 1043699572 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 380 Limit St, Leavenworth, KS 66048-4525 | 2015-05-29 |
| 1881168748 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 4001 N 3rd St, Phoenix, AZ 85012-2060 | 2019-01-14 |
| 1386118230 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 1702 W Anklam Rd, Tucson, AZ 85745-2606 | 2019-01-14 |
| 1639691884 | Mid Star Lab Inc | Durable Medical Equipment & Medical Supplies | 5101 Sw 21st St, Topeka, KS 66604-4419 | 2017-07-10 |
| 1275070419 | Mid Star Lab Inc | Durable Medical Equipment & Medical Supplies | 708 S Roosevelt St, Ste 2, Aberdeen, SD 57401-0300 | 2017-01-26 |
| 1831578368 | Mid Star Lab Inc | Durable Medical Equipment & Medical Supplies | 5205 E Kellogg Dr, Wichita, KS 67218-1633 | 2015-05-29 |
| 1376922807 | Mid Star Lab Inc | Durable Medical Equipment & Medical Supplies | 3125 Douglas Ave, Des Moines, IA 50310-5365 | 2015-05-29 |
| 1962760405 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 1701 Commerce Rd, Tonganoxie, KS 66086-5369 | 2012-05-02 |
| Street Address |
5480 MAIN ST STE 104 |
| City | DEL CITY |
| State | OK |
| Zip Code | 73115-5518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776222 | Physicians Choice Dialysis of Midwest City LLC | Technician, Other | 3200 Se 29th Street, Del City, OK 73115 | 2020-10-06 |
| 1942784715 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 4801 S.e. 15th Street, Del City, OK 73115 | 2018-09-18 |
| 1285164392 | Jerry Medlock | Peer Specialist | 4312 Vfw Dr. Apt # 7, 4312 Vfw Dr. Apt # 7, Del City, OK 73115 | 2017-06-13 |
| 1326425588 | Peace of Mind Pediatrics Pllc | Clinic/Center | 5476 Main Street, 104, Del City, OK 73115 | 2015-04-27 |
| 1588077044 | Latasha Aujena Walker | Case Management | 4337 Se15th, Del City, OK 73115 | 2014-06-03 |
| 1164834701 | Affordable Dentures-midwest City, P.C. | Dentist | 5301 Main Street, Suite 111, Del City, OK 73115 | 2014-06-02 |
| 1629488028 | Nikke Sogunro | Counselor | 3517 Ridglea Ct., Del City, OK 73115 | 2014-05-07 |
| 1033539358 | Shelli Holtsman | Counselor | 4329 Se 40th Street, Del City, OK 73115 | 2014-04-25 |
| 1215238514 | Tonya Dailwayne Wilson | Counselor | 4016 S.e. 24th Street, Del City, OK 73115 | 2010-11-03 |
| 1851611099 | Kelly Camille Kingsley | Behavioral Analyst | 4018 Se 11th Street, Del City, OK 73115 | 2010-06-10 |
| Find all providers in zip 73115 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790246361 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 5480 Main St, Del City, OK 73115-5516 | 2019-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515541 | Lamoor Beauty Supply | Prosthetic/Orthotic Supplier | 2214 N Martin Luther King Ave, Oklahoma City, OK 73111-2404 | 2019-12-10 |
| 1841776705 | Progressive Orthotic & Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 10 E 6th St., Grove, OK 74344 | 2018-07-13 |
| 1598258378 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 5601 Nw 72nd Street, Suite 257, Oklahoma City, OK 73132-5920 | 2018-06-07 |
| 1508363482 | Progressive Orthotic & Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 2121 S Columbia Ave Ste Ll8, Tulsa, OK 74114-3512 | 2018-04-09 |
| 1093237711 | Elevate Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 3317 E Memorial Rd Ste 103, Edmond, OK 73013-7095 | 2017-07-14 |
| 1710413489 | Raymon Turpin | Prosthetic/Orthotic Supplier | 6565 S Yale Ave Ste 901, Tulsa, OK 74136-8310 | 2017-05-02 |
| 1265970040 | Fenner, Inc | Prosthetic/Orthotic Supplier | 2019 W Broadway St, Muskogee, OK 74401-2759 | 2017-02-01 |
| 1336510874 | Tatas for Now | Prosthetic/Orthotic Supplier | 2319 W Gore Blvd, Lawton, OK 73505-6301 | 2015-10-09 |
| 1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
| 1043553019 | Edna C Hulley | Prosthetic/Orthotic Supplier | 1018 24th Ave Nw, Suite 110, Norman, OK 73069-6543 | 2013-03-28 |
| Find all providers with the same taxonomy | ||||
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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.