National Laboratory Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NATIONAL LABORATORY CORPORATION

Practice address

5805 E 15TH St Ste 104
Tulsa, OK 74112-6401

Phone

(918) 830-5601

Fax

(541) 488-7721

NPI assigned

Sep 11, 2019

Organization subpart

No

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

Authorized official

Name

Justin Clary

Title

Secretary

Phone

(918) 830-5601

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1669021622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352906",
            "telephone_number": "918-830-5601",
            "fax_number": "541-488-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 E 15TH ST STE 104",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741126401",
            "telephone_number": "918-830-5601",
            "fax_number": "541-488-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL LABORATORY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "CLARY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "918-830-5601"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 11, 2019; 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.