Caldwell Toxicology Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CALDWELL TOXICOLOGY LABS LLC

Practice address

7133 Riverside Parkway
Suite a
Tulsa, OK 74136

Phone

(918) 543-5356

NPI assigned

Oct 8, 2013

Organization subpart

No

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

Authorized official

Name

Robert E Gates

Title

President

Phone

(918) 794-0106

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cogent Medical Lab LLC Doing business as

Locations

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1700213667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7133 RIVERSIDE PARKWAY",
            "address_2": "SUITE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-543-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7133 RIVERSIDE PARKWAY",
            "address_2": "SUITE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-543-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL TOXICOLOGY LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-794-0106"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200537680A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cogent Medical Lab LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christa Calaway
• Emily Calder, ATC
• Mark M Calder, MD/MPH
• Emily Calderon
• Caldwell Medical Group of North Tulsa LLC
• Autum Michole Caldwell, P.A. - C
• Elizabeth Caldwell
• Everette Brent Caldwell Jr.
• John Dennis Caldwell
• Kathie Ann Caldwell, LCSW

• 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 May 2, 2017; 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.