Vanguard Laboratory Innovations

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VANGUARD LABORATORY INNOVATIONS

Practice address

8640 S Peoria Ave
Tulsa, OK 74132-2827

Phone

(918) 212-6177

NPI assigned

Oct 4, 2022

Organization subpart

No

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

Authorized official

Name

Chris Myers

Title

Owner

Phone

(213) 840-1161

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1770207607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8640 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741322827",
            "telephone_number": "918-212-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741322827",
            "telephone_number": "918-212-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD LABORATORY INNOVATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-840-1161"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Chris@vanguardlabinnovations.com",
            "affiliation": "N",
            "address_1": "8640 S Peoria Ave",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741322827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lehi Tounhia Vang, PA-C
• Melani Vang
• Nephi Vang
• Yer Vang
• Robert Martin Vangalder II
• Juanetta Vanhook-Jones
• Kurt Alan Vanmatre, LPC, LMFT
• Brenna Vanmeter
• Jaymie Vanmeter, LPC
• Timothy Vanmeter, RN

• 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 Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.