Collaborcare Laboratory Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COLLABORCARE LABORATORY SERVICES

Practice address

201 W Main St Ste 101C
Jenks, OK 74037-3939

Phone

(954) 638-7295

NPI assigned

Oct 9, 2023

Last updated

Oct 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julio Vargas

Title

Ceo

Phone

(954) 638-7295

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1023899887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST STE 101C",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373939",
            "telephone_number": "954-638-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST STE 101C",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373939",
            "telephone_number": "954-638-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORCARE LABORATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-638-7295"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Clay, BCBA, LBA
• Clca Inc (Jenks Vision Center)
• Kaiya Marie Clements, PHARMD
• Russell Eric Coatney, D.D.S.
• Areanna Noelle Coleman, M.A., BCBA, LBA
• Kylee Jane Collier, PTA
• Complete Recovery Physical Therapy, LLC
• Brenna Eileen-Nicolette Coombs
• Madison Copeland
• Tim C Copp, D.PH.

• Clinical Medical Laboratory in Jenks, OK
• Providers in Jenks, 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 Oct 9, 2023; 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.