Organization Active NPI

Tribal Diagnostics, LLC

  • Clinical Medical Laboratory
  • Oklahoma City, OK
National Provider Identifier
1134585946
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jul 23, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20160629000726 OK Part B Supplier - Independent Clinical Laboratory 8224329875 Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.