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Contact Information

CERTIGEN LABORATORY, LLC
9309 S TOLEDO AVE
SUITE A
TULSA, OK74137-2752
 Phone: 918-960-3150
 Fax: 918-960-3154
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for CERTIGEN LABORATORY, LLC

NPI # 1336556745
LBN Legal business name CERTIGEN LABORATORY, LLC
Authorized official KIMBERLY KIMREY - (OPERATIONS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2014
Last updated 01/13/2025 - More than a year ago
Identifiers
OK License # 37D2075661
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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