Organization Active NPI

Inoveon Corporation

  • Physiological Laboratory
  • Oklahoma City, OK
National Provider Identifier
1720085822
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
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

Updated by the provider on Sep 20, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
177946OtherMOBLUECROSS BLUESHIELD
200043570AMedicaidOK

National Provider Directory

National Provider Directory

Locations

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": []
}

Other providers in Oklahoma City, OK

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.

Verify at the official NPI Registry.