Healthcare Provider Details

I. General information

NPI: 1093621260
Provider Name (Legal Business Name): LABCORP OKLAHOMA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2434 INTERSTATE PLAZA DR
HAMMOND IN
46324-2671
US

IV. Provider business mailing address

PO BOX 8033
BURLINGTON NC
27216-8033
US

V. Phone/Fax

Practice location:
  • Phone: 800-222-7566
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: EVAN T SMITH
Title or Position: VP OF RCM
Credential:
Phone: 336-209-8960