Tulsa Medical Laboratory, Llc
LBN: Tulsa Medical Laboratory, Llc
Tulsa Medical Laboratory, Llc is an health care organization with primary practice located at 6565 S Yale Ave Suite 410, Tulsa OK 74136-8378. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Laboratories / Clinical Medical Laboratory. Laboratories / Clinical Medical Laboratory is the primary health care specialty.
Tulsa Medical Laboratory, Llc can be contacted via phone (918) 712-5571, or through Gillis, Rick D via phone (918) 712-5571.
Contact Information
Primary practice address
6565 S Yale Ave Suite 410
Tulsa OK 74136-8378
Phone: (918) 712-5571
Fax: (918) 747-7831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 37D1002749 | Oklahoma |
| Laboratories / Clinical Medical Laboratory | 291U00000X | 37D1002749 | Oklahoma |
Profile Details
| NPI number | 1457468464 |
|---|---|
| LBN Legal business name | Tulsa Medical Laboratory, Llc |
| DBA Doing business as | |
| Authorized official | Gillis, Rick D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Feb 9th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457468464 | NPPES |
| Oklahoma | MEDICAID | 100707130A |
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