Organization Active NPI

Magis LLC

  • Other Technician
  • Oklahoma City, OK
National Provider Identifier
1932886330
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
MAGIS LLC
Practice address
540 E Memorial Rd
Oklahoma City, OK 73114-2215
Phone
(405) 810-6822
Fax
(405) 810-6824
NPI assigned
Jun 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Mr. Joel W HerdzinaNPI 1013694314
Title
Owner
Phone
(405) 810-6822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 247200000X Primary
Clinic/Center 261Q00000X
Genetics Clinic/Center 261QG0250X

Addresses

Primary practice location

540 E Memorial Rd
Oklahoma City, OK 73114-2215

Mailing address

540 E Memorial Rd
Oklahoma City, OK 73114-2215
Phone (405) 810-6822

Other names 1

  • Fastest Labs OKC Doing business as

National Provider Directory

National Provider Directory

Locations

540 E Memorial Rd
Oklahoma City, OK 73114
Phone (405) 810-6822

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1932886330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142215",
            "telephone_number": "405-810-6822",
            "fax_number": "405-810-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142215",
            "telephone_number": "405-810-6822",
            "fax_number": "405-810-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "HERDZINA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-810-6822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fastest Labs OKC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 28, 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.