Active NPI
Peak Laboratories, LLC
- Clinical Medical Laboratory
- Edmond, OK
National Provider Identifier
1578918249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 37D2111730
- Legal business name
- PEAK LABORATORIES, LLC
- Practice address
- 235 W Hurd St
Edmond, OK 73003-5248 - Phone
- (405) 210-1662
- NPI assigned
- Apr 29, 2016
- Last updated
- Sep 23, 2026
- 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
- Andrew Paul Blakeman
- Title
- Managing Member
- Phone
- (405) 210-1662
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 37D2111730 | OK | Primary |
Addresses
Primary practice location
235 W Hurd St
Edmond, OK 73003-5248
Mailing address
235 W Hurd St
Edmond, OK 73003-5248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160802000552 | OK | Part B Supplier - Independent Clinical Laboratory | 8628361417 | Practice locations: Edmond, OK |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2111730 | Peak Laboratories | Accreditation | Mar 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
16502 N Pennsylvania Ave
Ste B
Edmond, OK 73012
Phone (405) 210-1662
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.
-
- Medical Physician Assistant
- Oklahoma City, OK
- NPI 1457776569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1578918249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 W HURD ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730035248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 W HURD ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730035248",
"telephone_number": "405-210-1662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK LABORATORIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-29",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "BLAKEMAN",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "405-210-1662"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "OK",
"license": "37D2111730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.