Active NPI
Geronimo Camarena
Doing business as A and B Medical Lab
- Clinical Medical Laboratory
- Tulsa, OK
National Provider Identifier
1053510826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.