OrganizationActive
Stateline Medical Lab LLC
NPI 1487275699 · Clinical Medical Laboratory · Pocola, OK
Stateline Medical Lab LLC is a Clinical Medical Laboratory organization in Pocola, OK (NPI 1487275699).
Provider details
- NPI number
- 1487275699
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Christopher Dooly, Owner(479) 414-5680
Specialties & taxonomies
Laboratories
Profile Score
Established profile(64/100 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
105 N Pocola Blvd Ste 2
Pocola, OK 74902-3101
Phone: (918) 436-5001
Approximate (ZIP-level) locationGet directions
Mailing address
105 N Pocola Blvd Ste 2
Pocola, OK 74902-3101
Registry dates
- Enumerated
- 2020-04-28
- Last updated
- 2020-04-28
- Certified
- 2020-04-28
Frequently asked questions
- What is Stateline Medical Lab LLC's NPI number?
- Stateline Medical Lab LLC's National Provider Identifier (NPI) is 1487275699, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stateline Medical Lab LLC?
- Stateline Medical Lab LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Stateline Medical Lab LLC located?
- Stateline Medical Lab LLC's practice location on file with NPPES is 105 N Pocola Blvd Ste 2, Pocola, OK 74902-3101.
- What is Stateline Medical Lab LLC's phone number?
- The practice phone number listed in the NPPES registry for Stateline Medical Lab LLC is (918) 436-5001.
- Who is the authorized official for Stateline Medical Lab LLC?
- The authorized official listed on Stateline Medical Lab LLC's NPPES record is Christopher Dooly, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stateline Medical Lab LLC's NPI active?
- Yes — Stateline Medical Lab LLC's NPI (1487275699) is active in the NPPES registry as of the last update on 2020-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.