Active NPI
Heart Lifeline LLC
- Clinical Medical Laboratory
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- HEART LIFELINE LLC
- Doing business as
- Heart Lifeline LLC
- Practice address
- 312 NE 28TH St Ste 107
Oklahoma City, OK 73105-2822 - Phone
- (572) 243-1568
- NPI assigned
- Mar 18, 2024
- Last updated
- Jun 4, 2026
- 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
- Delilah Nsume Esama, LAB SUPPORT TECH
- Title
- Ceo
- Phone
- (572) 243-1568
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | |||
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
312 NE 28TH St Ste 107
Oklahoma City, OK 73105-2822
Mailing address
312 NE 28TH St Ste 107
Oklahoma City, OK 73105-2822
Phone (572) 243-1568
Other names 1
- Heart Lifeline LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250415000497 | OK | Part B Supplier - Independent Clinical Laboratory | 2668997479 | Practice locations: Oklahoma City, OK |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2299466 | Heart Lifeline LLC | Certificate of waiver | Feb 20, 2028 |
National Provider Directory
National Provider DirectoryLocations
312 NE 28th St
Ste 107
Oklahoma City, OK 73105
Phone (572) 243-1568
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Phlebotomy Technician
- Oklahoma City, OK
- NPI 1346008281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780531200000",
"number": "1407615545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 NE 28TH ST STE 107",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731052822",
"telephone_number": "572-243-1568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 NE 28TH ST STE 107",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731052822",
"telephone_number": "572-243-1568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART LIFELINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-18",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A",
"authorized_official_last_name": "ESAMA",
"authorized_official_first_name": "DELILAH",
"authorized_official_middle_name": "NSUME",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "572-243-1568",
"authorized_official_credential": "LAB SUPPORT TECH"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heart Lifeline LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
- Shyreeta Hearne
- Christa Leanne Hearon
- Tamara E Hearst, M.D.
- Heart & Soul Healthcare Inc
- Heart Care at Home, LLC
- Heart Solutions Medical Center PC
- Heart Specialists PC
- Heart to Heart Hospice of Okc, LLC Dba Cura-HPC Edmond
- Heartland Healing Center LLC
- Heartland Hospice Services Inc (Heartland Hospice Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.