Family Medical Lab, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

37D0472553 Issued in OK

Legal business name

FAMILY MEDICAL LAB, INC.

Practice address

915 E Owen K Garriott Rd
Suite E
Enid, OK 73701-6156

Phone

(580) 233-2909

Fax

(580) 233-2937

NPI assigned

Sep 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Stan Loucks, MT(ASCP),MA

Title

Owner

Phone

(580) 233-2909

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1003908526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 E OWEN K GARRIOTT RD",
            "address_2": "SUITE E",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016156",
            "telephone_number": "580-233-2909",
            "fax_number": "580-233-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E OWEN K GARRIOTT RD",
            "address_2": "SUITE E",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016156",
            "telephone_number": "580-233-2909",
            "fax_number": "580-233-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "LOUCKS",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-233-2909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT(ASCP),MA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": "37D0472553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETO GBA RR MEDICARE",
            "identifier": "690120393",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100758450A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher P Fagan, D.D.S.
• Fairview Home Health LLC (Complete Home Health of Western Oklahoma)
• Faith Family Clinic PLLC
• Heather Falen, B.A., BHRS
• Family Eye & Vision Care (Andrew P Kraft O.D.)
• James Fanning, RBT
• Danielle Elise Farrell, LICSW-SOCIAL WORK
• Rebecca Susanne Faubion
• Britani Marie Faulk, MS, ATC, LAT
• Lilly Etta Faust

• Clinical Medical Laboratory in Enid, OK
• Providers in Enid, OK by specialty
• Clinical Medical Laboratory in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.