Organization Active NPI

Choice Clinical Laboratory, LLC

  • Clinical Medical Laboratory
  • Midwest City, OK
National Provider Identifier
1700263605
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CHOICE CLINICAL LABORATORY, LLC
Practice address
8210 National Ave
Midwest City, OK 73110-8518
Phone
(631) 805-4406
Fax
(631) 862-5080
NPI assigned
Apr 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Mr. John Uralil
Title
President / Ceo
Phone
(631) 805-4406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X OK Primary

Addresses

Primary practice location

8210 National Ave
Midwest City, OK 73110-8518

Mailing address

8210 National Ave
Midwest City, OK 73110-8518
Phone (631) 805-4406

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1700263605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 NATIONAL AVE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731108518",
            "telephone_number": "631-805-4406",
            "fax_number": "631-862-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 NATIONAL AVE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731108518",
            "telephone_number": "631-805-4406",
            "fax_number": "631-862-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE CLINICAL LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "URALIL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "631-805-4406",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.