Toxcode Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TOXCODE DIAGNOSTICS LLC

Practice address

5115 S 122ND East Ave Ste 202a
Tulsa, OK 74146-6025

Phone

(918) 856-3111

Fax

(918) 515-7826

NPI assigned

Apr 10, 2024

Organization subpart

No

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

Authorized official

Name

Crissy Williams

Title

Owner

Phone

(918) 282-6577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1407609209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 S 122ND EAST AVE STE 202A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466025",
            "telephone_number": "918-856-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 S 122ND EAST AVE STE 202A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466025",
            "telephone_number": "918-856-3111",
            "fax_number": "918-515-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOXCODE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CRISSY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-282-6577"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Townsend, BCN-P
• Jnisha E Townsend, LPN
• Johnna Townsend
• Raymond E Townsend, MD
• Daniel Kent Towsley, M.D.
• Tracey M. Jennings, LCSW, LLC
• Emma Diane Tracy, RSS
• Rachel Elizabeth Tracy, M.S.
• Victoria Leigh Tracy, PH.D.
• Jawad Trad, D.O

• Clinical Medical Laboratory in Tulsa, OK
• Providers in Tulsa, 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 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.