Healthcare Provider Details

I. General information

NPI: 1144177189
Provider Name (Legal Business Name): SNATRIX LAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3717 W ELGIN ST
BROKEN ARROW OK
74012-2157
US

IV. Provider business mailing address

3717 W ELGIN ST
BROKEN ARROW OK
74012-2157
US

V. Phone/Fax

Practice location:
  • Phone: 918-641-4066
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: ALI KHAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 918-641-4066