DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TULSA MEDICAL LABORATORY, LLC

MEDICARE: TULSA MEDICAL LABORATORY, 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician37D1002749OK
2291U00000XClinical Medical Laboratory37D1002749OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457468464
Entity Type Code : Organization
Provider Name (Legal Business Name) : TULSA MEDICAL LABORATORY, LLC
Provider Business Mailing Address
First Line : 5700 SOUTHWYCK BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43614-1509
Country : US
Telephone Number : 800-288-8325
Fax Number : 419-866-5453
Provider Business Practice Location Address
First Line : 5110 S YALE AVE STE 100
Second Line :
City : TULSA
State : OK
Zip : 74135-7438
Country : US
Telephone Number : 918-712-5571
Fax Number : 918-747-7831
Authorized Official
Title or Position : BUSINESS MANAGER
Name : HEATHER CHARLES
Credential :
Telephone Number : 918-281-6808
Provider Enumeration Date : 08/24/2006
Last Update Date : 10/29/2025

Similar Medicare Providers

1720151673 — DAN H MCCAGHREN LPC
Practice Location Address:
5110 S YALE AVE , SUITE 102
TULSA, OK
74135-7438
Practice Phone: 918-492-2385
Practice Fax: 918-492-1579
1750583852 — CLEARY COUNSELING & CONSULTATION, INC
Practice Location Address:
5110 S YALE AVE STE 102
TULSA, OK
74135-7438
Practice Phone: 918-492-2385
Practice Fax:
1023527884 — KYLAH CLOVIS OT
Practice Location Address:
5110 S YALE AVE STE 102
TULSA, OK
74135-7438
Practice Phone: 918-492-2386
Practice Fax: 918-645-8686
1992354278 — LAURA NOVAK PT, DPT
Practice Location Address:
5110 S YALE AVE STE 102
TULSA, OK
74135-7438
Practice Phone: 918-492-2386
Practice Fax:
1699373704 — KACIE MCCONNELL OTR/L
Practice Location Address:
5110 S YALE AVE STE 102
TULSA, OK
74135-7438
Practice Phone: 918-492-2386
Practice Fax:
1093304339 — ADDISON JANE SCHWEIZER-CHILCOAT COTA/L
Practice Location Address:
5110 S YALE AVE STE 102
TULSA, OK
74135-7438
Practice Phone: 918-492-2386
Practice Fax: 918-645-8686

Directions to “TULSA MEDICAL LABORATORY, 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.