Organization Active NPI

Oklahoma Clinical DX Inc

  • Clinical Medical Laboratory
  • Oklahoma City, OK
National Provider Identifier
1558184580
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OKLAHOMA CLINICAL DX INC
Practice address
500 N Meridian Ave Ste 103
Oklahoma City, OK 73107-5706
Phone
(310) 985-2472
NPI assigned
Nov 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Shan Rajput
Title
Owner
Phone
(310) 985-2472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

500 N Meridian Ave Ste 103
Oklahoma City, OK 73107-5706

Mailing address

500 N Meridian Ave Ste 103
Oklahoma City, OK 73107-5706
Phone (310) 985-2472

National Provider Directory

National Provider Directory

Locations

500 N Meridian Ave
Ste 103
Oklahoma City, OK 73107
Phone (310) 985-2472

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1558184580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MERIDIAN AVE STE 103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731075706",
            "telephone_number": "310-985-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MERIDIAN AVE STE 103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731075706",
            "telephone_number": "310-985-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA CLINICAL DX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "RAJPUT",
        "authorized_official_first_name": "SHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-985-2472"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.