OrganizationActive
Advanced Laboratory Services LLC
NPI 1649504564 · Clinical Medical Laboratory · Oklahoma City, OK
Provider details
- NPI number
- 1649504564
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jennifer Samples, Credentialing Specialist(405) 605-2777
- License
- 37D2059506 (OK)
Specialties & taxonomies
Laboratories
Practice location
300 N Meridian Ave
Suite 205-S
Oklahoma City, OK 73107-6560
Phone: (405) 605-2777
Fax: (405) 602-1235
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 638823
Cincinnati, OH 45263-8823
Registry dates
- Enumerated
- 2009-09-24
- Last updated
- 2015-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.