Active NPI
SNB, LLC Dba Personal Health Partners
- Clinical Medical Laboratory
- Edmond, OK
National Provider Identifier
1265701676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CLIA 37D0921553
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Partners
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Service Clinic/Center
- Tulsa, OK
- NPI 1497112205
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.