NPIMap

Organization Active NPI

Regional Medical Laboratory, Inc

  • Clinical Medical Laboratory
  • Tulsa, OK
National Provider Identifier
1497773337
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
37D0656684 Issued in OK
Legal business name
REGIONAL MEDICAL LABORATORY, INC
Practice address
4142 S Mingo Rd
Tulsa, OK 74146-3632
Phone
(918) 744-2553
Fax
(918) 744-3482
NPI assigned
Jul 18, 2006
Last updated
May 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Dr. Charles Terrence Dolan, M.D.
Title
President
Phone
(918) 744-2553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 37D0656684 OK Primary

Addresses

Primary practice location

4142 S Mingo Rd
Tulsa, OK 74146-3632

Mailing address

4142 S Mingo Rd
Tulsa, OK 74146-3632
Phone (918) 744-2553

Other practice location 1

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2553

Other identifiers 1

IdentifierTypeStateIssuer
100757670BMedicaidOK

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
37D0656684Ascension St John Medical Center, Inc1923 S Utica, Tulsa, OK 74104AccreditationFeb 27, 2027
37D1095187Ascension St John Medical Center1923 S Utica Ave, Tulsa, OK 74104AccreditationMar 3, 2028
37D2279577Ascension St John Medical Center Respiratory Dept1923 S Utica Ave, Tulsa, OK 74104AccreditationMar 3, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2401 S Tucker Ave
Ste 5
Pittsburg, KS 66762
Phone (620) 232-7765

3500 E Frank Phillips Blvd
Fl 2
Bartlesville, OK 74006

4229 Royal Ave
Ste 100
Oklahoma City, OK 73108
Phone (405) 286-9903

12451 E 100th St N
Fl 1
Owasso, OK 74055

2408 E 81st St
#105
Tulsa, OK 74137
Phone (918) 744-2505

4142 S Mingo Rd
Tulsa, OK 74146
Phone (918) 417-6400

6242 E 41st St
#1728
Tulsa, OK 74135

Dept 1728
Tulsa, OK 74182

Practitioners & affiliated clinicians

Practitioners 63

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.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1497773337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463632",
            "telephone_number": "918-744-2553",
            "fax_number": "918-744-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463632",
            "telephone_number": "918-744-2553",
            "fax_number": "918-744-3482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1923 S Utica Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741046520",
            "country_code": "US",
            "telephone_number": "918-744-2553",
            "fax_number": "918-744-3482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGIONAL MEDICAL LABORATORY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "TERRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-744-2553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": "37D0656684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100757670B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.