Active NPI
Marquel Lewis
- Clinical Medical Laboratory
- Tulsa, OK
National Provider Identifier
1982365482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 37D2246279
- Practice address
- 5311 E 47TH PL Apt 6M
Tulsa, OK 74135-6638 - Phone
- (678) 548-2574
- NPI assigned
- Jan 6, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 37D2246279 | OK | Primary |
Addresses
Primary practice location
5311 E 47TH PL Apt 6M
Tulsa, OK 74135-6638
Mailing address
5311 E 47TH PL Apt 6M
Tulsa, OK 74135-6638
Phone (678) 548-2574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37D2246279 | OK | MD | Clinical Medical Laboratory |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1982365482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5311 E 47TH PL APT 6M",
"city": "TULSA",
"state": "OK",
"postal_code": "741356638",
"telephone_number": "678-548-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5311 E 47TH PL APT 6M",
"city": "TULSA",
"state": "OK",
"postal_code": "741356638",
"telephone_number": "678-548-2574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MARQUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2021-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "OK",
"license": "37D2246279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.