OrganizationActive
Phoenix Medical Lab LLC
NPI 1104696517 · Clinical Medical Laboratory · Tulsa, OK
Phoenix Medical Lab LLC is a Clinical Medical Laboratory organization in Tulsa, OK (NPI 1104696517).
Provider details
- NPI number
- 1104696517
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- John Jones, Co-Owner(817) 271-1970
Specialties & taxonomies
Laboratories
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6312 E 101st St
Tulsa, OK 74137-7007
Phone: (918) 438-7840
Fax: (918) 528-6648
Street-level locationGet directions
Mailing address
6312 E 101st St
Tulsa, OK 74137-7007
Registry dates
- Enumerated
- 2024-01-05
- Last updated
- 2024-01-05
- Certified
- 2024-01-05
Frequently asked questions
- What is Phoenix Medical Lab LLC's NPI number?
- Phoenix Medical Lab LLC's National Provider Identifier (NPI) is 1104696517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Medical Lab LLC?
- Phoenix Medical Lab LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Phoenix Medical Lab LLC located?
- Phoenix Medical Lab LLC's practice location on file with NPPES is 6312 E 101st St, Tulsa, OK 74137-7007.
- What is Phoenix Medical Lab LLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Medical Lab LLC is (918) 438-7840.
- Who is the authorized official for Phoenix Medical Lab LLC?
- The authorized official listed on Phoenix Medical Lab LLC's NPPES record is John Jones, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Medical Lab LLC's NPI active?
- Yes — Phoenix Medical Lab LLC's NPI (1104696517) is active in the NPPES registry as of the last update on 2024-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.