Hunters Grand Clinical Analytics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HUNTERS GRAND CLINICAL ANALYTICS, LLC

Doing business as

Grand Labs

Practice address

6111 E Skelly Dr Ste 1200
Tulsa, OK 74135-6100

Phone

(405) 608-0720

NPI assigned

Jan 9, 2024

Organization subpart

No

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

Authorized official

Name

Eric Wallis, PHD

Title

Medical Director

Phone

(713) 301-0599

Specialties & licenses 1

Addresses

Other names 1

• Grand Labs Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1114798212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 BROADWAY EXT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146300",
            "telephone_number": "405-608-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 E SKELLY DR STE 1200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356100",
            "telephone_number": "405-608-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTERS GRAND CLINICAL ANALYTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "WALLIS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-301-0599",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Labs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherri Ann Hunter, LPC
• Stephanie Hunter
• Steven Hunter, PRSS
• Timeya Hunter
• Hunter's Grand Pharmacy, LLC (Hunter's Grand Pharmacy)
• Holly Hunzicker, M.S. CC-SLP
• Danielle Nicole Hurd, APRN, AGNP-C
• David Hurd
• Jennifer Hurd
• Rose Hurd

• 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 Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.