Organization Active NPI

Performance Laboratories LLC

  • Clinical Medical Laboratory
  • Oklahoma City, OK
National Provider Identifier
1245657675
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PERFORMANCE LABORATORIES LLC
Practice address
500 North Walker Avenue
Suite 150
Oklahoma City, OK 73102-1657
Phone
(405) 601-7100
Fax
(405) 601-7180
NPI assigned
Mar 24, 2014
Last updated
Sep 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
Samiya Mustafa
Title
Owner/Ceo
Phone
(770) 557-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

500 North Walker Avenue
Suite 150
Oklahoma City, OK 73102-1657

Mailing address

500 North Walker Avenue
Suite 150
Oklahoma City, OK 73102-1657
Phone (405) 601-7100

National Provider Directory

National Provider Directory

Locations

500 N Walker Ave
Ste 150
Oklahoma City, OK 73102
Phone (405) 601-7100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1245657675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NORTH WALKER AVENUE",
            "address_2": "SUITE 150",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021657",
            "telephone_number": "405-601-7100",
            "fax_number": "405-601-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NORTH WALKER AVENUE",
            "address_2": "SUITE 150",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021657",
            "telephone_number": "405-601-7100",
            "fax_number": "405-601-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "MUSTAFA",
        "authorized_official_first_name": "SAMIYA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "770-557-2323"
    },
    "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 Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.