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

Phoenix Medical Lab LLC

Organization Clinical Medical Laboratory · NPI 1104696517

Phoenix Medical Lab LLC is a Clinical Medical Laboratory in Tulsa, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
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

6312 E 101st St
Tulsa, OK 74137-7007
Phone: (918) 438-7840
Fax: (918) 528-6648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1104696517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Jones — Co-Owner · (817) 271-1970
NPI enumeratedJanuary 5, 2024
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024
Mailing address6312 E 101st St, Tulsa, OK 74137-7007

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