DIAGNOSTIC LABORATORY OF OKLAHOMA, LLC (NPI# 1972885044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972885044 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC LABORATORY OF OKLAHOMA, LLC |
| Other Organization Name | LAKESIDE WOMEN'S HOSPITAL |
| Practice Address |
11200 N Portland Ave Oklahoma City OK 73120-5045 |
| Mailing Address |
1201 S Collegeville Rd Collegeville PA 19426-2998 |
| Practice Telephone | 4059361566 |
| Mailing Telephone | 8666978378 |
| Enumeration Date | 2011-09-15 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100758750 | 05 |
| Other Name | Type Code |
|---|---|
| Lakeside Women's Hospital | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174850408 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 5911 West Memorial Road, Oklahoma City, OK 73142 | 2009-11-06 |
| 1407136674 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 4801 Integris Pkwy, Edmond, OK 73034-8864 | 2011-08-19 |
| Street Address |
11200 N PORTLAND AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417954504 | Lisa J Wasemiller-smith | Obstetrics & Gynecology | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2005-07-05 |
| 1659912855 | Elizabeth Ann Bennett | Family Medicine | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2019-09-30 |
| 1487197232 | Cody Blackmon | Registered Nurse | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2016-11-28 |
| 1467906305 | Alisha Wilke | Nurse Practitioner | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2016-08-09 |
| 1902270358 | Melissa Daree Willman | Registered Nurse | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2015-11-23 |
| 1710365390 | Ian Gray | Anesthesiology | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2015-05-14 |
| 1902245988 | Alicia J Jackson | Massage Therapist | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2013-06-23 |
| 1952650400 | Regina Lynn Webber | Nurse Practitioner | 11200 N Portland Ave, 2nd Floor, Oklahoma City, OK 73120-5045 | 2012-08-30 |
| 1720375363 | Lacy Parker | Obstetrics & Gynecology | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2011-07-04 |
| 1811295108 | Lakeside Women's Center of Oklahoma City, LLC | Obstetrics & Gynecology | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2011-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| 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 | 73120 |
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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.