Organization Active NPI

Analytical Edge Laboratories LLC

  • Clinical Medical Laboratory
  • Oklahoma City, OK
National Provider Identifier
1073936183
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
37D2070976 Issued in OK
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20140804000215 OK Part B Supplier - Independent Clinical Laboratory 0143447839 Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.