TULSA AMBULATORY PROCEDURE CENTER LLC NPI 1346510476

NPI Information

NPI: 1346510476
Provider Name: TULSA AMBULATORY PROCEDURE CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 37D2047389

Address:
2811 E 15TH ST STE 101
TULSA, OK
ZIP 74104
Phone: (918) 935-3200
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TULSA AMBULATORY PROCEDURE CENTER LLC is an ambulatory surgical clinic center in Tulsa, OK. TULSA AMBULATORY PROCEDURE CENTER LLC NPI is 1346510476. The provider is registered as an organization entity type.

The provider's business location address is:

2811 E 15TH ST STE 101
TULSA, OK
ZIP 74104-242
Phone: (918) 935-3200
Fax: (918) 935-3201

The provider's authorized official is Jayen Patel .
The authorized official title is Owner and has the following contact phone number (918) 935-3200.

The CLIA number assigned to this NPI record is 37D2047389 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2012 and was last updated on 7/21/2022.

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	261QA1903X	Clinic/Center	Ambulatory Surgical		OKLAHOMA	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	200501680A	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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