Organization Active NPI

Moleculera Biosciences, Inc

  • Clinical Medical Laboratory
  • Oklahoma City, OK
National Provider Identifier
1013356211
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
37D2052130 Issued in OK
Legal business name
MOLECULERA BIOSCIENCES, INC
Practice address
755 Research Pkwy
Suite 410
Oklahoma City, OK 73104-3629
Phone
(405) 239-5250
Fax
(405) 239-5255
NPI assigned
Jun 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Craig D Shimasaki, PHD
Title
President and Ceo
Phone
(405) 239-5250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 37D2052130 OK Primary

Addresses

Primary practice location

755 Research Pkwy
Suite 410
Oklahoma City, OK 73104-3629

Mailing address

755 Research Pkwy
Suite 410
Oklahoma City, OK 73104-3629
Phone (405) 239-5250

Other names 1

  • Moleculera Labs, Inc. Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2082408Moleculera Biosciences, Inc755 Research Parkway, Suite 448, Oklahoma City, OK 73104AccreditationApr 2, 2027

National Provider Directory

National Provider Directory

Locations

755 Research Pkwy
Ste 410
Oklahoma City, OK 73104
Phone (405) 239-5250

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1013356211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 RESEARCH PKWY",
            "address_2": "SUITE 410",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731043629",
            "telephone_number": "405-239-5250",
            "fax_number": "405-239-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 RESEARCH PKWY",
            "address_2": "SUITE 410",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731043629",
            "telephone_number": "405-239-5250",
            "fax_number": "405-239-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULERA BIOSCIENCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2024-11-04",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "SHIMASAKI",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "405-239-5250",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": "37D2052130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moleculera Labs, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.