Neo Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEO SERVICES, LLC

Doing business as

Northeastern Oklahoma Physician Group

Practice address

7020 S Utica Ave
Tulsa, OK 74136-3907

Phone

(918) 728-8904

Fax

(918) 744-9729

NPI assigned

Mar 4, 2019

Organization subpart

No

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

Authorized official

Name

Colleen Payne

Title

Coo

Phone

(918) 744-1001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northeastern Oklahoma Physician Group Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1679031256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363907",
            "telephone_number": "918-728-8904",
            "fax_number": "918-744-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363907",
            "telephone_number": "918-728-8904",
            "fax_number": "918-744-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEO SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "918-744-1001"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200517820A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.neo-servicesll.com",
            "affiliation": "N",
            "endpointDescription": "Laboratory",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "www.neo-servicesllc.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2110 Research Row # B100-G",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752352519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Northeastern Oklahoma Physician Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northeastern Oklahoma Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Telisha Rene Nelson, AUD
• Travis Jeremy Nelson
• Zachary Nelson
• Joseph Charles Nemcok, D.O.
• James J Nemec, M.D.
• Nephrology Associates, Inc.
• Christopher James Nerio, ATC
• Jill Danielle Nerio, ATC
• Cheming Nero
• Dion D Nero

• 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 Aug 3, 2020; 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.