Ponya Diagnostics of Oklahoma LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PONYA DIAGNOSTICS OF OKLAHOMA LLC

Practice address

6312 E 101St St
Tulsa, OK 74137-7007

Phone

(229) 442-7210

NPI assigned

Jan 20, 2026

Organization subpart

No

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

Authorized official

Name

Mekonnen Abebe

Title

Owner

Phone

(229) 442-7210

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": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1417816935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CORPORATE BLVD NE STE 250",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291901",
            "telephone_number": "229-442-7210",
            "fax_number": "404-759-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 E 101ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377007",
            "telephone_number": "229-442-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONYA DIAGNOSTICS OF OKLAHOMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "ABEBE",
        "authorized_official_first_name": "MEKONNEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-442-7210"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Ponder
• Michelle M Ponder, M.D.
• Janice Ponds
• Jo Pongsatien, O.D.
• Brianna Ponton
• Frannie Pool, OT
• Lindsey Pool
• Thomas Kentaro Koga Pool
• Jayme Erin Poole, LPN
• Rebecca S Poore, ARNP

• 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 Jan 21, 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.