Organization Active NPI

Geronimo Camarena

Doing business as A and B Medical Lab

  • Clinical Medical Laboratory
  • Tulsa, OK
National Provider Identifier
1053510826
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GERONIMO CAMARENA
Doing business as
A and B Medical Lab
Practice address
1323 E 71St St Ste 101
Tulsa, OK 74136-5036
Phone
(918) 851-4983
Fax
(918) 516-0335
NPI assigned
Jul 12, 2007
Last updated
Jul 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Geronimo Camarena
Title
President
Phone
(918) 851-4983

Specialties & licenses 1

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

Addresses

Primary practice location

1323 E 71St St Ste 101
Tulsa, OK 74136-5036

Mailing address

1323 E 71St St Ste 101
Tulsa, OK 74136-5036
Phone (918) 851-4983

Other names 1

  • A and B Medical Lab Doing business as

National Provider Directory

National Provider Directory

Locations

1323 E 71st St
Ste 101
Tulsa, OK 74136
Phone (918) 851-4983

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1053510826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 E 71ST ST STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365036",
            "telephone_number": "918-851-4983",
            "fax_number": "918-516-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 E 71ST ST STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365036",
            "telephone_number": "918-851-4983",
            "fax_number": "918-516-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERONIMO CAMARENA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "CAMARENA",
        "authorized_official_first_name": "GERONIMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-851-4983"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A and B Medical Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.