Organization Active NPI

Marquis Labs, LLC

  • Clinical Medical Laboratory
  • Oklahoma City, OK
National Provider Identifier
1902267164
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
37D2108849 Issued in OK
Legal business name
MARQUIS LABS, LLC
Practice address
13301 N Meridian Ave
Suite 704-a
Oklahoma City, OK 73120-9369
Phone
(405) 445-6001
Fax
(888) 972-7527
NPI assigned
Mar 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Sam Brooks
Title
Partner
Phone
(309) 261-7782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 37D2108849 OK Primary

Addresses

Primary practice location

13301 N Meridian Ave
Suite 704-a
Oklahoma City, OK 73120-9369

Mailing address

13301 N Meridian Ave
Suite 704-a
Oklahoma City, OK 73120-9369

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160510000088 OK Part B Supplier - Independent Clinical Laboratory 4486943776 Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

13301 N Meridian Ave
Ste 704A
Oklahoma City, OK 73120
Phone (405) 445-6001

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1902267164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN AVE",
            "address_2": "SUITE 704-A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN AVE",
            "address_2": "SUITE 704-A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209369",
            "telephone_number": "405-445-6001",
            "fax_number": "888-972-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUIS LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "309-261-7782"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": "37D2108849",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 8, 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.