Richard Edward Mullins, PHD

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

007-005 Issued in GA

Practice address

8551 N 125TH East Ave Ste 150
Owasso, OK 74055-2296

Phone

(833) 272-5227

NPI assigned

Oct 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arc Diagnostics, LLC

  • Clinical Medical Laboratory
  • Owasso, OK
  • NPI 1790307395
  NPD

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1831979392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2857 INDIAN SHOALS RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191835",
            "telephone_number": "770-712-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 N 125TH EAST AVE STE 150",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552296",
            "telephone_number": "833-272-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "RICHARD",
        "middle_name": "EDWARD",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "GA",
            "license": "007-005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Da'Sha Morton, LPN
• Shelby Renae Moseby, M.S. CCC-SLP
• Carolyn Mosley, PTA
• Candice Moss
• Kayci Moushon, PMHNP
• Zachary Michael Mullins, DO
• Nicolle Diane Murnan, PTA
• Kaydence Navarro
• Sarah Neal
• Jad Nehme

• Clinical Laboratory Director (Non-physician) in Owasso, OK
• Providers in Owasso, OK by specialty
• Clinical Laboratory Director (Non-physician) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.