Organization Active NPI

SNB, LLC Dba Personal Health Partners

  • Clinical Medical Laboratory
  • Edmond, OK
National Provider Identifier
1265701676
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLIA 37D0921553 Issued in OK
Legal business name
SNB, LLC DBA PERSONAL HEALTH PARTNERS
Practice address
2000 E 15TH St
Suite 300B
Edmond, OK 73013-6697
Phone
(405) 330-5755
Fax
(405) 330-5796
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Nan A Bertone, RN, CLNC
Title
Owner / Clinical Director
Phone
(918) 519-2919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLIA 37D0921553 OK Primary

Addresses

Primary practice location

2000 E 15TH St
Suite 300B
Edmond, OK 73013-6697

Mailing address

2000 E 15TH St
Suite 300B
Edmond, OK 73013-6617
Phone (405) 330-5755

National Provider Directory

National Provider Directory
Tax ID family
Personal Health Partners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2000 E 15th St
Ste 300B
Edmond, OK 73013
Phone (405) 330-5755

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1265701676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E 15TH ST",
            "address_2": "SUITE 300B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136617",
            "telephone_number": "405-330-5755",
            "fax_number": "405-330-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E 15TH ST",
            "address_2": "SUITE 300B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136697",
            "telephone_number": "405-330-5755",
            "fax_number": "405-330-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNB, LLC DBA PERSONAL HEALTH PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "BERTONE",
        "authorized_official_first_name": "NAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "918-519-2919",
        "authorized_official_credential": "RN, CLNC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": "CLIA 37D0921553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.