Organization Active NPI

Qitek Labs of Oklahoma LLC

  • Clinical Medical Laboratory
  • Oklahoma City, OK
National Provider Identifier
1043835143
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
QITEK LABS OF OKLAHOMA LLC
Practice address
3636 NW 63Rd St Ste C
Oklahoma City, OK 73116-2011
Phone
(888) 857-4835
Fax
(470) 645-9256
NPI assigned
Jun 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Zachary Husk
Title
Ceo
Phone
(888) 857-4835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3636 NW 63Rd St Ste C
Oklahoma City, OK 73116-2011

Mailing address

4375 River Green Pkwy Ste 200
Duluth, GA 30096-8319
Phone (888) 857-4835

National Provider Directory

National Provider Directory

Locations

3636 NW 63rd St
Ste C
Oklahoma City, OK 73116
Phone (678) 523-8759

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1043835143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 RIVER GREEN PKWY STE 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968319",
            "telephone_number": "888-857-4835",
            "fax_number": "470-645-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 NW 63RD ST STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731162011",
            "telephone_number": "888-857-4835",
            "fax_number": "470-645-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QITEK LABS OF OKLAHOMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "HUSK",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-857-4835"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 25, 2021; 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.