DIAGNOSTIC LABORATORY OF OKLAHOMA LLC (NPI# 1669659850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669659850 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC LABORATORY OF OKLAHOMA LLC |
| Other Organization Name | INTEGRIS BAPTIST MEDICAL CENTER |
| Practice Address |
3300 Nw Expressway Oklahoma City OK 73112-4418 |
| Mailing Address |
1201 S Collegeville Rd Collegeville PA 19426-2998 |
| Practice Telephone | 4059496829 |
| Mailing Telephone | 8666978378 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2018-12-11 |
| Authorized Official Name | LEO SELL (CONTROLLER) |
| Authorized Official Telephone | 4056086298 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIAGNOSTIC LABORATORY OF OKLAHOMA LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 37D0663764 | OK | Laboratories |
| Other Name | Type Code |
|---|---|
| Integris Baptist Medical Center | Other Name - Individual/Organization |
| 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 |
| 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 |
| Street Address |
3300 NW EXPRESSWAY |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567848 | Gregory W Dinwiddie | Physician Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2005-06-02 |
| 1760083554 | Cristin Michelle Fong | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-11-06 |
| 1578160487 | Jennifer Bauman | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-10-04 |
| 1013525062 | Siera Alexis Freeman | Physical Therapist | 3300 Nw Expressway, Oklahoma City, OK 73112 | 2020-07-15 |
| 1447878152 | Sabrina Smith | Registered Nurse | 3300 Nw Expressway, Oklahoma City, OK 73112-4999 | 2020-07-09 |
| 1881219756 | Paul Rakowski | Emergency Medicine | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-06-16 |
| 1902429707 | Alex D Dumontier | Anesthesiologist Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-05-27 |
| 1417577305 | Oklahoma Emergency Physicians LLC | Emergency Medicine | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-04-21 |
| 1871113761 | Oklahoma Hospital Medicine Physicians LLC | Internal Medicine | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-04-21 |
| 1043839459 | Taylor Egbert | Student in an Organized Health Care Education/Training Program | 3300 Nw Expressway, Oklahoma City, OK 73112-4999 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| 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 |
| 1245657675 | Performance Laboratories LLC | Clinical Medical Laboratory | 500 North Walker Avenue, Suite 150, Oklahoma City, OK 73102-1657 | 2014-03-24 |
| 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 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.