Active NPI
Rowland-Ellis-Flatt Clinic
- Clinical Medical Laboratory
- Antlers, OK
National Provider Identifier
1104097443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ROWLAND-ELLIS-FLATT CLINIC
- Practice address
- 603 NE 2ND St
Antlers, OK 74523-2636 - Phone
- (580) 298-3351
- Fax
- (580) 298-6137
- NPI assigned
- Mar 14, 2008
- 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
- Victoria Elaine Pardue, DO
- Title
- Owner/Partner
- Phone
- (580) 326-6423
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
603 NE 2ND St
Antlers, OK 74523-2636
Mailing address
603 NE 2ND St
Antlers, OK 74523-2636
Phone (580) 298-3351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100730820B | Medicaid | OK |
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 |
|---|---|---|---|
| 37D0475410 | Rowland Flatt Clinic | Accreditation | Dec 22, 2027 |
| 37D2147637 | Rowland Flatt Rural Health Clinic | Certificate of waiver | Apr 23, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Clinical Medical Laboratory
- Hugo, OK
- NPI 1235300575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777248000000",
"number": "1104097443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 NE 2ND ST",
"city": "ANTLERS",
"state": "OK",
"postal_code": "745232636",
"telephone_number": "580-298-3351",
"fax_number": "580-298-6137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 NE 2ND ST",
"city": "ANTLERS",
"state": "OK",
"postal_code": "745232636",
"telephone_number": "580-298-3351",
"fax_number": "580-298-6137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROWLAND-ELLIS-FLATT CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-14",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A",
"authorized_official_last_name": "PARDUE",
"authorized_official_first_name": "VICTORIA",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "OWNER/PARTNER",
"authorized_official_telephone_number": "580-326-6423",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100730820B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Antlers, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.