Active NPI
Inoveon Corporation
- Physiological Laboratory
- Oklahoma City, OK
National Provider Identifier
1720085822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- INOVEON CORPORATION
- Practice address
- 800 Research Parkway,
Suite 370,
Oklahoma City, OK 73104-3611 - Phone
- (405) 271-9025
- Fax
- (405) 271-9026
- NPI assigned
- Jul 5, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. G. Carl Gibson, CPA
- Title
- Chief Operating Officer
- Phone
- (405) 271-9025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
800 Research Parkway,
Suite 370,
Oklahoma City, OK 73104-3611
Mailing address
800 Research Parkway,
Suite 370,
Oklahoma City, OK 73104-3611
Phone (405) 271-9025
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177946 | Other | MO | BLUECROSS BLUESHIELD |
| 200043570A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
800 Research Pkwy
Ste 370
Oklahoma City, OK 73104
Phone (405) 271-9025
1025 Straka Ter
Ste 50
Oklahoma City, OK 73139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348099200000",
"number": "1720085822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 RESEARCH PARKWAY,",
"address_2": "SUITE 370,",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731043611",
"telephone_number": "405-271-9025",
"fax_number": "405-271-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 RESEARCH PARKWAY,",
"address_2": "SUITE 370,",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731043611",
"telephone_number": "405-271-9025",
"fax_number": "405-271-9026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INOVEON CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-05",
"last_updated": "2012-09-20",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "G. CARL",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "405-271-9025",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "177946",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200043570A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.