Active NPI
Analytical Edge Laboratories LLC
- Clinical Medical Laboratory
- Oklahoma City, OK
National Provider Identifier
1073936183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 37D2070976
- Legal business name
- ANALYTICAL EDGE LABORATORIES LLC
- Practice address
- 120 NE 26TH St
Oklahoma City, OK 73105-2705 - Phone
- (855) 243-3343
- Fax
- (405) 253-5816
- NPI assigned
- Jan 24, 2014
- Last updated
- Feb 23, 2017
- 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
- Dr. Robert Turner, PH.D.
- Title
- President and Ceo
- Phone
- (855) 243-3343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 37D2070976 | OK | Primary |
Addresses
Primary practice location
120 NE 26TH St
Oklahoma City, OK 73105-2705
Mailing address
120 NE 26TH St
Oklahoma City, OK 73105-2705
Phone (855) 243-3343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140804000215 | OK | Part B Supplier - Independent Clinical Laboratory | 0143447839 | Practice locations: Oklahoma City, OK |
National Provider Directory
National Provider DirectoryLocations
120 NE 26th St
Oklahoma City, OK 73105
Phone (405) 227-0544
865 Research Pkwy
#424
Oklahoma City, OK 73104
Phone (405) 227-0544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487808000000",
"number": "1073936183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 NE 26TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731052705",
"telephone_number": "855-243-3343",
"fax_number": "405-253-5816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 NE 26TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731052705",
"telephone_number": "855-243-3343",
"fax_number": "405-253-5816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANALYTICAL EDGE LABORATORIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-24",
"last_updated": "2017-02-23",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "855-243-3343",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "OK",
"license": "37D2070976",
"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 Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.