Active NPI
Tribal Diagnostics, LLC
- Clinical Medical Laboratory
- Oklahoma City, OK
National Provider Identifier
1134585946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- TRIBAL DIAGNOSTICS, LLC
- Practice address
- 3600 S Lakeside Dr
Oklahoma City, OK 73179-8441 - Phone
- (405) 896-2978
- NPI assigned
- Jan 8, 2016
- 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
- Cory Littlepage
- Title
- Ceo
- Phone
- (405) 896-2978
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
3600 S Lakeside Dr
Oklahoma City, OK 73179-8441
Mailing address
3600 S Lakeside Dr
Oklahoma City, OK 73179-8441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160629000726 | OK | Part B Supplier - Independent Clinical Laboratory | 8224329875 | Practice locations: Oklahoma City, OK |
National Provider Directory
National Provider DirectoryLocations
9217 S Eastern Ave
Moore, OK 73160
Phone (405) 896-2978
2163 Stephens Pl
Ste 103
New Braunfels, TX 78130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753228800000",
"number": "1134585946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 S LAKESIDE DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731798441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 S LAKESIDE DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731798441",
"telephone_number": "405-896-2978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIBAL DIAGNOSTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-08",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A",
"authorized_official_last_name": "LITTLEPAGE",
"authorized_official_first_name": "CORY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "405-896-2978"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"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 Jul 23, 2025; 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.