Oregon Clinical Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OREGON CLINICAL LABORATORY LLC

Practice address

417 N Spring St Unit B
Klamath Falls, OR 97601-2605

Phone

(971) 200-1449

Fax

(541) 641-0155

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Jahangeer Ali

Title

Owner

Phone

(682) 243-3242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1891519047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N SPRING ST UNIT B",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976012605",
            "telephone_number": "971-200-1449",
            "fax_number": "541-641-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N SPRING ST UNIT B",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976012605",
            "telephone_number": "971-200-1449",
            "fax_number": "541-641-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON CLINICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "JAHANGEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-243-3242"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olive Tree Medical Care, LLC
• Judith Oyama Olson, FNP
• Sasha Olsson, LCSW
• Liban Omar, CASAC
• Oregon Center for Vaginal Excellence Inc. (Heartfelt Obstetrics & Gynecology)
• Oregon Institute of Technology
• Oregon Institute of Technology (Oregon Tech Dental Clinic-Klamath Falls)
• Oregon Institute of Technology
• Oregon Institute of Technology Student Health Center
• Oregon Mobile Healthcare LLC

• Clinical Medical Laboratory in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Clinical Medical Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.