DIAGNOSTIC LABORATORY OF OKLAHOMA, LLC – NPI #1972885044
Clinical Medical Laboratory

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

DIAGNOSTIC LABORATORY OF OKLAHOMA, LLC is a clinical medical laboratory located in OKLAHOMA CITY, OK. NPPES has assigned the NPI number 1972885044 to DIAGNOSTIC LABORATORY OF OKLAHOMA, LLC on September 15, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 291U00000X from the Health Care Provider Taxonomy code set, which is classified as Clinical Medical Laboratory.

The NPI profile was last updated on Oct 01, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIAGNOSTIC LABORATORY OF OKLAHOMA, LLC below.

NPI Profile for
DIAGNOSTIC LABORATORY OF OKLAHOMA, LLC

NPI Number
1972885044
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIAGNOSTIC LABORATORY OF OKLAHOMA, LLC
Primary location
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120-5045
Phone: (405) 936-1566 Fax:
Mailing address
14275 MIDWAY RD STE 400
ADDISON, TX 75001-3661
Phone: Fax:
Organization Subpart
Yes - DIAGNOSTIC LABORATORY OF OKLAHOMA, LLC is subpart of another organization.
Authorized Official
R'NEE MULLEN
CEO
Phone: (405) 608-6290
Updated
Certification Date
Oct 01, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DIAGNOSTIC LABORATORY OF OKLAHOMA, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOK100758750
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
291U00000X
- Clinical Medical Laboratory (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.