Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blueprint Signature Services LLC

Organization Physiological Laboratory · NPI 1376406850

Blueprint Signature Services LLC is a Physiological Laboratory in Broken Arrow, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 W Delmar St
Broken Arrow, OK 74012
Phone: (855) 395-0763
Fax: (918) 895-0969
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physiological Laboratory (primary) Taxonomy 293D00000X

Record details

NPI number1376406850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shakeia Gill — Owner · (918) 841-2359
NPI enumeratedDecember 3, 2025
Last updated in NPPESDecember 3, 2025
Certification dateNovember 20, 2025
Mailing address3171 S 129th East Ave Ste A-2082, Tulsa, OK 74134-3205

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