OrganizationActive
Imaginus Diagnostic Laboratory LLC
NPI 1417583162 · Clinical Medical Laboratory · Spiro, OK
Imaginus Diagnostic Laboratory LLC is a Clinical Medical Laboratory organization in Spiro, OK (NPI 1417583162).
Provider details
- NPI number
- 1417583162
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Brittany White, Managing Member(479) 650-9459
Specialties & taxonomies
Laboratories
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
17673 US Highway 271
Spiro, OK 74959-5300
Phone: (479) 650-9459
Street-level locationGet directions
Mailing address
5616 Williamson Pl
Fort Smith, AR 72916-8415
Registry dates
- Enumerated
- 2020-03-13
- Last updated
- 2020-07-09
- Certified
- 2020-07-09
Frequently asked questions
- What is Imaginus Diagnostic Laboratory LLC's NPI number?
- Imaginus Diagnostic Laboratory LLC's National Provider Identifier (NPI) is 1417583162, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Imaginus Diagnostic Laboratory LLC?
- Imaginus Diagnostic Laboratory LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Imaginus Diagnostic Laboratory LLC located?
- Imaginus Diagnostic Laboratory LLC's practice location on file with NPPES is 17673 US Highway 271, Spiro, OK 74959-5300.
- What is Imaginus Diagnostic Laboratory LLC's phone number?
- The practice phone number listed in the NPPES registry for Imaginus Diagnostic Laboratory LLC is (479) 650-9459.
- Who is the authorized official for Imaginus Diagnostic Laboratory LLC?
- The authorized official listed on Imaginus Diagnostic Laboratory LLC's NPPES record is Brittany White, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Imaginus Diagnostic Laboratory LLC's NPI active?
- Yes — Imaginus Diagnostic Laboratory LLC's NPI (1417583162) is active in the NPPES registry as of the last update on 2020-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.