OSU CLINICAL LAB SERVICES
NPI 1447662010
Clinical Medical Laboratory in Tulsa, OK
NPI Status: Active since May 29, 2014
- Organization
- Clinical Medical Laboratory
- CLIA Number: 37D1099477
- CLIA Cert. Type: Other - ACADEMIC HEALTH CENTER
- CLIA Exp. Date: 12-09-2025
About OSU CLINICAL LAB SERVICES
This page provides the complete NPI Profile along with additional information for Osu Clinical Lab Services, a provider established in Tulsa, Oklahoma operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1447662010 assigned on May 2014. The practitioner's primary taxonomy code is 291U00000X with license number 37D2076904 (OK). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Osu Clinical Lab Services. The authorized official of this NPI record is Dr. Jarrad R Wagner Phd (Associate Professor & Director)
- NPI
- 1447662010
- Provider Legal Name
- STATE OF OKLAHOMA
- Other Organization Name
- OSU CLINICAL LAB SERVICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1111 W 17TH ST TULSA, OK 74107
- Location Phone
- (918) 561-1421
- Mailing Address
- 1111 W 17TH ST TULSA, OK 74107
- Mailing Phone
- (918) 561-1421
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-29-2014
- Last Update Date
- 08-31-2017
- Code Navigator
Establishments like Osu Clinical Lab Services are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.
Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Medical Laboratory
- Taxonomy Code
- 291U00000X
- Type
- Laboratories
- License No.
- 37D2076904
- License State
- OK
- Taxonomy Description
- (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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200217940K | MEDICAID (05) | OK |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D1099477
- Facility Type
- Other - ACADEMIC HEALTH CENTER
- Certificate Effective Date
- December 10, 2023
- Certificate Expiration Date
- December 09, 2025
- Laboratory Director
- TAMAR BARUCH-FINKEL
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Osu Clinical Lab Services after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 4 | 7 | 6 | 6 | 2 | 0 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 8 | 7 | 12 | 6 | 4 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 8 + 7 + 1 + 2 + 6 + 4 + 0 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1447662010 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1205162393 | DR. BRUCE ALLEN BENJAMIN PH.D. Individual | Specialist (Research Study) | 1111 W 17TH ST TULSA, OK 74107 (918) 561-1222 |
| 1891181038 | PREMIER LABS, LLC Organization | Clinical Medical Laboratory | 1111 W 17TH ST ATTN: JARRAD WAGNER TULSA, OK 74107 (541) 301-8476 |
| 1952947723 | GABRIEL JIMENEZ Individual | Specialist/Technologist (Athletic Trainer) | 1111 W 17TH ST TULSA, OK 74107 (504) 330-2592 |
| 1083246771 | JONATHAN HERRICK Individual | Student in an Organized Health Care Education/Training Program | 1111 W 17TH ST TULSA, OK 74107 (918) 561-8255 |
| 1285266908 | TYRUS SCHMALZ Individual | Student in an Organized Health Care Education/Training Program | 1111 W 17TH ST TULSA, OK 74107 (918) 561-8255 |
| 1710514534 | ALICIA TOMLIN DO Individual | Student in an Organized Health Care Education/Training Program | 1111 W 17TH ST TULSA, OK 74107 (918) 582-1972 |
| 1942837554 | JOSHUA GEORGE Individual | Student in an Organized Health Care Education/Training Program | 1111 W 17TH ST TULSA, OK 74107 (918) 582-1972 |
| 1194353086 | DIPA PUWAR DO Individual | Student in an Organized Health Care Education/Training Program | 1111 W 17TH ST TULSA, OK 74107 (918) 582-1972 |
| 1285262899 | JONATHON GURULE DO Individual | Student in an Organized Health Care Education/Training Program | 1111 W 17TH ST TULSA, OK 74107 (918) 582-1972 |
| 1902423296 | EMILY MADRAK LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 1111 W 17TH ST TULSA, OK 74107 (918) 561-8255 |
| 1861078818 | EBONEE HAYWARD DO Individual | Student in an Organized Health Care Education/Training Program | 1111 W 17TH ST TULSA, OK 74107 (918) 582-1972 |
| 1164006193 | AARON KENDALL COTNEY Individual | Student in an Organized Health Care Education/Training Program | 1111 W 17TH ST TULSA, OK 74107 (918) 924-9508 |
| 1255915161 | BRANDON HART Individual | Student in an Organized Health Care Education/Training Program | 1111 W 17TH ST TULSA, OK 74107 (918) 582-1972 |
| 1063096972 | DERIC SHELTON Individual | Student in an Organized Health Care Education/Training Program | 1111 W 17TH ST TULSA, OK 74107 (580) 504-1755 |
| 1780268557 | KAILEE ROE DO Individual | Student in an Organized Health Care Education/Training Program | 1111 W 17TH ST TULSA, OK 74107 (580) 641-6682 |
| 1790369007 | MR. JACKSON EMORY WOOD Individual | Student in an Organized Health Care Education/Training Program | 1111 W 17TH ST TULSA, OK 74107 (918) 582-1972 |
| 1831763010 | ROMAN EDWARDS Individual | Student in an Organized Health Care Education/Training Program | 1111 W 17TH ST TULSA, OK 74107 (405) 761-7017 |
| 1235703307 | IAN FLADIE Individual | Student in an Organized Health Care Education/Training Program | 1111 W 17TH ST TULSA, OK 74107 (918) 582-1972 |
| 1922672872 | MR. JON MICHAEL ANDERSON Individual | Student in an Organized Health Care Education/Training Program | 1111 W 17TH ST TULSA, OK 74107 (918) 521-8774 |
| 1861069544 | BROOKE NICOLE BERGMAN DO Individual | Student in an Organized Health Care Education/Training Program | 1111 W 17TH ST TULSA, OK 74107 (918) 582-1972 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447662010, enumerated in the NPI registry as an "organization" on May 29, 2014
The provider is located at 1111 W 17th St Tulsa, Ok 74107 and the phone number is (918) 561-1421
This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 37D1099477 for a "other - academic health center" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on May 29, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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