Organization Active NPI

Dax Laboratories, LLC

Doing business as Dax Laboratories

  • Clinical Medical Laboratory
  • Edmond, OK
National Provider Identifier
1790206043
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
37D2128149 Issued in OK
Legal business name
DAX LABORATORIES, LLC
Doing business as
Dax Laboratories
Practice address
17200 N May Ave Ste 400
Edmond, OK 73012-9035
Phone
(405) 657-1156
NPI assigned
Jun 27, 2017
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Shaye Matthews
Title
Managing Member
Phone
(405) 657-1156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 37D2128149 OK Primary

Addresses

Primary practice location

17200 N May Ave Ste 400
Edmond, OK 73012-9035

Mailing address

17200 N May Ave Ste 400
Edmond, OK 73012-9035
Phone (405) 474-1162

Other names 1

  • Dax Laboratories Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171106002715 OK Part B Supplier - Independent Clinical Laboratory 7214293331 Practice locations: Edmond, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2128149Dax Laboratories, LLC17200 N May Ave, Ste 400, Edmond, OK 73012AccreditationSep 24, 2027

National Provider Directory

National Provider Directory

Locations

17200 N May Ave
Ste 400
Edmond, OK 73012
Phone (405) 541-1078

17316 N May Ave
Unit B
Edmond, OK 73012
Phone (405) 657-1156

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1790206043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 N MAY AVE STE 400",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129035",
            "telephone_number": "405-474-1162",
            "fax_number": "405-726-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 N MAY AVE STE 400",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129035",
            "telephone_number": "405-657-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAX LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "SHAYE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-657-1156"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": "37D2128149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dax Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.