Active NPI
Marquis Labs, LLC
- Clinical Medical Laboratory
- Oklahoma City, OK
National Provider Identifier
1417540725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MARQUIS LABS, LLC
- Practice address
- 13301 N Meridian Ave Ste 704-a
Oklahoma City, OK 73120-9369 - Phone
- (405) 445-6001
- NPI assigned
- Feb 17, 2021
- 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
- Sam Brooks
- Title
- Authorized Official
- Phone
- (309) 261-7782
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
13301 N Meridian Ave Ste 704-a
Oklahoma City, OK 73120-9369
Mailing address
13301 N Meridian Ave Ste 704-a
Oklahoma City, OK 73120-9369
Phone (405) 445-6001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200645060A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
13301 N Meridian Ave
Ste 704
Oklahoma City, OK 73120
Phone (405) 445-6001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669939200000",
"number": "1417540725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13301 N MERIDIAN AVE STE 704-A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209369",
"telephone_number": "405-445-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13301 N MERIDIAN AVE STE 704-A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209369",
"telephone_number": "405-445-6001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARQUIS LABS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-17",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "309-261-7782"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200645060A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 2, 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.