Active NPI
Performance Laboratories LLC
- Clinical Medical Laboratory
- Oklahoma City, OK
National Provider Identifier
1245657675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2019
- 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
- Samiya Mustafa
- Title
- Owner/Ceo
- Phone
- (770) 557-2323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Interventional Cardiology Physician
- London, KY
- NPI 1376653634
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.