Organization Active NPI

Seva Precision Labs LLC

  • Clinical Medical Laboratory
  • Tulsa, OK
National Provider Identifier
1215535570
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SEVA PRECISION LABS LLC
Practice address
6048A S Sheridan Rd
Tulsa, OK 74145-9212
Phone
(918) 935-3243
NPI assigned
Oct 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Authorized official

Name
Amit Mirchandani, MDNPI 1457687378
Title
Member
Phone
(469) 200-6239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6048A S Sheridan Rd
Tulsa, OK 74145-9212

Mailing address

1850 Lakepointe Dr Ste 700
Lewisville, TX 75057-6442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211130002874 OK Part B Supplier - Independent Clinical Laboratory 2264822576 Practice locations: Tulsa, OK

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2009934Seva Med Care6048A S Sheridan Rd, Tulsa, OK 74145AccreditationMay 19, 2027
37D2083193Seva Precision6048A S Sheridan Rd, Tulsa, OK 74145AccreditationNov 16, 2027

National Provider Directory

National Provider Directory

Locations

6048 S Sheridan Rd
Ste A
Tulsa, OK 74145
Phone (918) 935-3240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1215535570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 LAKEPOINTE DR STE 700",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6048A S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459212",
            "telephone_number": "918-935-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVA PRECISION LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "MIRCHANDANI",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "469-200-6239",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.