Active NPI
Lucid Laboratory Services
- Clinical Medical Laboratory
- Bixby, OK
National Provider Identifier
1073062394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2021
- 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
- Albert F Sanchez
- Title
- Ceo
- Phone
- (479) 263-2690
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2053655 | Lucid Laboratory Services | Accreditation | May 19, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.