Delta Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DELTA LABORATORY, LLC

Practice address

300 N Meridian Ave Ste 100-S
Oklahoma City, OK 73107-6560

Phone

(405) 608-4107

Fax

(405) 217-0057

NPI assigned

Jul 11, 2013

Organization subpart

No

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

Authorized official

Name

Tracy Wohlgemuth

Title

Billing Manager

Phone

(405) 608-4107

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1316388804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 NW EXPRESSWAY STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731325103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MERIDIAN AVE STE 100-S",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731076560",
            "telephone_number": "405-608-4107",
            "fax_number": "405-217-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "WOHLGEMUTH",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "405-608-4107"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Deloera, RN MSN, AACNS-AG
• Anita Jacqueline Deloney, TEACHER
• Eugene Delong
• Jessica Lee Delong, BS
• Claire Emmanuelle Delpirou Nouh, MD
• Shalyn Delua
• Christian Vincent Demaio, MD
• Bradley Demarais, M.D.
• Danielle Demarzo, MD
• Kaitlyn Michelle Dembowski, DPT

• Clinical Medical Laboratory in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Medical Laboratory in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.