NPI Details
OKLAHOMA STATE UNIVERSITY is a clinical medical laboratory in Tulsa, OK. The provider is (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. OKLAHOMA STATE UNIVERSITY NPI is 1326495433. The provider is registered as an organization entity type.
The provider Is Doing Business As Osu Physicians Clinical Laboratory.
The provider's business location address is:
1111 W 17TH ST # 171
TULSA, OK
ZIP 74107-886
Phone: (918) 561-1440
Fax: (918) 561-1173
The provider's authorized official is Eric John Polak .
The authorized official title is Vp and has the following contact phone number (918) 561-8422.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Detection test by nucleic acid for hiv-1 virus, quantification (HCPCS:87536)
- Detection test by nucleic acid for multiple organisms, direct probe(s) technique (HCPCS:87800)
The enumeration date for this NPI number is 5/18/2016 and was last updated on 10/28/2024.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 200608290C | MEDICAID | OKLAHOMA | |
| 2 | 37D109477 | OTHER | | C L I A |
