MEDICARE: TRIBAL DIAGNOSTICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1134585946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIBAL DIAGNOSTICS, LLC

Provider Business Mailing Address
First Line	:	3600 S LAKESIDE DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73179-8441
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 S LAKESIDE DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73179-8441
Country	:	US
Telephone Number	:	405-896-2978
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CORY LITTLEPAGE
Credential	:
Telephone Number	:	405-896-2978

Provider Enumeration Date	:	01/08/2016
Last Update Date	:	07/23/2025

Similar Medicare Providers

1801246384 — ANKITA TANDEL
Practice Location Address:

4 BUCCANEER LN
REDWOOD CITY, CA
94065-8441

Practice Phone: 650-921-0932
Practice Fax:

1629629548 — MRS. ADRIENNE MARIE SEABORN
Practice Location Address:

331 TURTLE CV
PANAMA CITY BEACH, FL
32413-8441

Practice Phone: 904-708-3947
Practice Fax:

1093389819 — SURGICAL ASSIST SOLUTIONS LLC
Practice Location Address:

325 TURTLE CV
PANAMA CITY BEACH, FL
32413-8441

Practice Phone: 901-486-9414
Practice Fax:

1285528356 — SOUTH BARRETT BEHAVIORAL LLC
Practice Location Address:

331 TURTLE CV
PANAMA CITY BEACH, FL
32413-8441

Practice Phone: 904-708-3946
Practice Fax:

1154280758 — MISTY D JACKSON MASSAGE THERAPIST
Practice Location Address:

1190 E SHADOW LN
HUACHUCA CITY, AZ
85616-8441

Practice Phone: 520-559-4600
Practice Fax:

1104862978 — WILLIAM WILSON MD
Practice Location Address:

7301 SW 44TH ST STE A
OKLAHOMA CITY, OK
73179-4309

Practice Phone: 405-357-3500
Practice Fax: 405-357-3519

Directions to “TRIBAL DIAGNOSTICS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.