Healthcare Provider Details

I. General information

NPI: 1962253203
Provider Name (Legal Business Name): SNAPSHOT HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

907 S DETROIT AVE STE 100
TULSA OK
74120-4253
US

IV. Provider business mailing address

907 S DETROIT AVE STE 100
TULSA OK
74120-4253
US

V. Phone/Fax

Practice location:
  • Phone: 323-708-0382
  • Fax:
Mailing address:
  • Phone: 323-708-0382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT KURTZ
Title or Position: CEO
Credential:
Phone: 323-708-0382