Active NPI
Labcorp Oklahoma, Inc.
- Clinical Medical Laboratory
- Oklahoma City, OK
National Provider Identifier
1851035000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABCORP OKLAHOMA, INC.
- Practice address
- 4229 Royal Ave Ste 100
Oklahoma City, OK 73108-2058 - Phone
- (054) 286-9903
- NPI assigned
- Apr 25, 2022
- 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
- Kimberly T Williams
- Title
- Vice President
- Phone
- (336) 436-5402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
4229 Royal Ave Ste 100
Oklahoma City, OK 73108-2058
Mailing address
PO Box 8013
Burlington, NC 27216-8013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37D1051831 | Other | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221130000059 | OK | Part B Supplier - Independent Clinical Laboratory | 0547638256 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tulsa, OK |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653264000000",
"number": "1851035000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8013",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272168013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4229 ROYAL AVE STE 100",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731082058",
"telephone_number": "054-286-9903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABCORP OKLAHOMA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-25",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "336-436-5402"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "37D1051831",
"state": null
}
],
"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 May 23, 2022; 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.