Advanced Laboratory Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

37D2059506 Issued in OK

Legal business name

ADVANCED LABORATORY SERVICES LLC

Practice address

300 N Meridian Ave
Suite 205-S
Oklahoma City, OK 73107-6560

Phone

(405) 605-2777

Fax

(405) 602-1235

NPI assigned

Sep 24, 2009

Last updated

Oct 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Samples

Title

Credentialing Specialist

Phone

(405) 605-2777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1649504564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638823",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638823",
            "telephone_number": "405-605-2777",
            "fax_number": "405-605-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MERIDIAN AVE",
            "address_2": "SUITE 205-S",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731076560",
            "telephone_number": "405-605-2777",
            "fax_number": "405-602-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LABORATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "SAMPLES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "405-605-2777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": "37D2059506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Oklahoma City, OK
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.