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DIAGNOSTIC LABORATORY OF OKLAHOMA LLC NPI 1396928461


NPI Information

NPI: 1396928461
Provider Name: DIAGNOSTIC LABORATORY OF OKLAHOMA LLC

Other Name: GROVE GENERAL HOSPTIAL

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 37D2000400

Address:
1001 E 18TH ST
SUITE A
GROVE, OK
ZIP 74344
Phone: (918) 786-2243
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DIAGNOSTIC LABORATORY OF OKLAHOMA LLC is a clinical medical laboratory in Grove, OK. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. DIAGNOSTIC LABORATORY OF OKLAHOMA LLC NPI is 1396928461. The provider is registered as an organization entity type.
The provider Other Name Is Grove General Hosptial.

The provider's business location address is:

1001 E 18TH ST
SUITE A
GROVE, OK
ZIP 74344-907
Phone: (918) 786-2243

The provider's authorized official is Leo Sell .
The authorized official title is Controller and has the following contact phone number (405) 608-6298.

The CLIA number assigned to this NPI record is 37D2000400 - other - on site frozen sections with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/12/2007 and was last updated on 12/11/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical Laboratory37D0700830OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100758750GMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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