Labcorp Oklahoma, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABCORP OKLAHOMA, INC.

Practice address

4144 S Mingo Rd
Tulsa, OK 74146-3632

Phone

(918) 744-2500

NPI assigned

Apr 27, 2022

Organization subpart

No

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

Authorized official

Name

Kimberly T Williams

Title

Vice President

Phone

(336) 436-5402

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Labcorp Oklahoma, Inc.

  • Clinical Medical Laboratory
  • Tulsa, OK
  • NPI 1205570454

  O20221130000059

  Same enrollment
• Labcorp Oklahoma, Inc.

  • Clinical Medical Laboratory
  • Oklahoma City, OK
  • NPI 1851035000

  O20221130000059

  Same enrollment

Tax ID family

Labcorp Oklahoma Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Labcorp Oklahoma, Inc.

  • Clinical Medical Laboratory
  • Tulsa, OK
  • NPI 1205570454
  NPD tax ID
• Labcorp Oklahoma, Inc.

  • Clinical Medical Laboratory
  • Tulsa, OK
  • NPI 1831832484
  NPD tax ID
• Labcorp Oklahoma, Inc.

  • Clinical Medical Laboratory
  • Hammond, IN
  • NPI 1093621260
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Laboratory Corporation of America Holdings

  • Clinical Medical Laboratory
  • Cromwell, CT
  • NPI 1700517984

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1104560945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8013",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272168013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463632",
            "telephone_number": "918-744-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABCORP OKLAHOMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "336-436-5402"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "37D2168023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Laakso, LPC
• Lab Medicine of Greater Tulsa, P.C.
• Adrienne M Labadie, R.D./L.D.
• Kimberly Labass
• Melinda Faye Labbe, MS., LPC.
• Labcorp Oklahoma, Inc.
• Labcorp Oklahoma, Inc.
• Danielle Labeau, RN
• Key Labell
• Laboratory Corporation of America

• Clinical Medical Laboratory in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Medical Laboratory in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.