Organization Active NPI

Lucid Laboratory Services

  • Clinical Medical Laboratory
  • Bixby, OK
National Provider Identifier
1073062394
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LUCID LABORATORY SERVICES
Practice address
12816 S Memorial Dr Unit 126
Bixby, OK 74008-2593
Phone
(918) 943-1238
Fax
(918) 970-4143
NPI assigned
Sep 28, 2016
Last updated
Aug 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Albert F Sanchez
Title
Ceo
Phone
(479) 263-2690

Specialties & licenses 1

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

Addresses

Primary practice location

12816 S Memorial Dr Unit 126
Bixby, OK 74008-2593

Mailing address

PO Box 334
Bixby, OK 74008-0334
Phone (918) 970-4719

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
37D2053655Lucid Laboratory Services12816 S Memorial Dr, Ste 119, Bixby, OK 74008AccreditationMay 19, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1073062394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740080334",
            "telephone_number": "918-970-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12816 S MEMORIAL DR UNIT 126",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082593",
            "telephone_number": "918-943-1238",
            "fax_number": "918-970-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCID LABORATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-263-2690"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bixby, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.