Organization Active NPI

Heart Lifeline LLC

  • Clinical Medical Laboratory
  • Oklahoma City, OK
National Provider Identifier
1407615545
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Delilah Nsume Esama, LAB SUPPORT TECHNPI 1346008281
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)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250415000497 OK Part B Supplier - Independent Clinical Laboratory 2668997479 Practice locations: Oklahoma City, OK

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2299466Heart Lifeline LLC312 NE 28TH St, #107, Oklahoma City, OK 73105Certificate of waiverFeb 20, 2028

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.