PBHC Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PBHC LABORATORIES

Practice address

2305 SW H Ave Ste 6
Lawton, OK 73505-8103

Phone

(580) 699-8551

Fax

(580) 699-8553

NPI assigned

Dec 2, 2014

Organization subpart

No

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

Authorized official

Name

Dewell Brewer

Title

Ceo

Phone

(580) 699-8551

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1982001137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SW H AVE STE 6",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735058103",
            "telephone_number": "580-699-8551",
            "fax_number": "580-699-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SW H AVE STE 6",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735058103",
            "telephone_number": "580-699-8551",
            "fax_number": "580-699-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBHC LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEWELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-699-8551"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Lawton, OK
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.