Oakdale Diagnostic Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OAKDALE DIAGNOSTIC LABORATORIES LLC

Practice address

454 W Pipkin Rd Ste 201-E
Lakeland, FL 33813-2545

Phone

(863) 940-4013

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Jeremy Cope

Title

President

Phone

(863) 838-6632

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1356093876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 W PIPKIN RD STE 201-E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 W PIPKIN RD STE 201-E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132545",
            "telephone_number": "863-940-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKDALE DIAGNOSTIC LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "COPE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-838-6632"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie O'Neil, ARNP
• Brenna E O'Neill, DPT
• Kristy Laine O'Neill, FNP
• Oakbridge Health Care Associates LLC
• Oakbridge Nursing and Rehab Center LLC
• Thomas William Oates, MD
• Fredrick Obi, RPH
• Henry Jerome Obrien, ED.S.
• Ocala Rehabilitation Physicians
• Rachiela Pangan Ocampo, PT

• Clinical Medical Laboratory in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.