Labcorp Oklahoma, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABCORP OKLAHOMA, INC.

Practice address

2408 E 81St St Ste 105
Tulsa, OK 74137-4200

Phone

(189) 744-2505

NPI assigned

Apr 25, 2022

Last updated

May 23, 2022By the provider in NPPES

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 1104560945

  O20221130000059

  Same enrollment
• Labcorp Oklahoma, Inc.

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

  O20221130000059

  Same enrollment

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

CLIA laboratory certificates

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 1104560945
  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
  • Matthews, NC
  • NPI 1972946267

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1205570454",
    "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": "2408 E 81ST ST STE 105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374200",
            "telephone_number": "189-744-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABCORP OKLAHOMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "37D2088219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• 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 23, 2022; 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.