Precision Histology Lab, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRECISION HISTOLOGY LAB, INC.

Practice address

3629 NW 19TH St
Oklahoma City, OK 73107-2815

Phone

(405) 946-0118

Fax

(405) 946-5652

NPI assigned

Nov 25, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Janet C. Lundy, HT(ASCP), HTL

Title

President

Phone

(405) 946-0118

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1700869559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74940",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731470940",
            "telephone_number": "405-946-0118",
            "fax_number": "405-946-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 NW 19TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072815",
            "telephone_number": "405-946-0118",
            "fax_number": "405-946-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION HISTOLOGY LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-25",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "LUNDY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-946-0118",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "HT(ASCP), HTL"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200038780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Oklahoma City, OK
• Providers in Oklahoma City, 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 Dec 14, 2009; 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.