Bison Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

37D2122926 Issued in OK

Legal business name

BISON DIAGNOSTICS LLC

Practice address

13301 N Meridian Ave Ste 704B
Oklahoma City, OK 73120-9369

Phone

(405) 445-6001

Fax

(888) 972-7527

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Kenneth Graham

Title

Founder

Phone

(616) 304-6264

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1912444746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN AVE STE 704B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209369",
            "telephone_number": "405-445-6001",
            "fax_number": "888-972-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN AVE STE 704B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209369",
            "telephone_number": "405-445-6001",
            "fax_number": "888-972-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISON DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "616-304-6264"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": "37D2122926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Bishop, PA-C
• Michael Brent Bishop, DOCTOR OF PHARMACY
• Nancy M Bishop, MD
• Rivera Bishop
• Warren Allen Bishop
• Nabil Kaddis Bissada, M.D.
• Albert Joseph Bisson, MD
• Hussein Bitar, MD
• Ranim Bittar
• Kimberly Louise Bittle, PA-C

• Clinical Medical Laboratory in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Medical Laboratory in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.