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VAO SERVICE PROVIDER LLC
NPI 1316253008
Clinic/Center in Oklahoma City, OK

Active since August 19, 2010CLIA 37D2199052 · Waiver
817 SW 59TH ST, OKLAHOMA CITY, OK 73109(405) 605-6353 Get Directions Write a Review

NPPES record last updated: August 19, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Vao Service Provider Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VAO SERVICE PROVIDER LLC (NPI 1316253008) is a healthcare organization registered as a clinic/center in Oklahoma City, Oklahoma and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists John Wilson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1316253008
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVAO SERVICE PROVIDER LLC
Location Address817 SW 59TH STOklahoma City, OK 73109-4807
Mailing Address817 Sw 59th StOklahoma City, OK 73109-4807 · (405) 605-6353
Phone(405) 605-6353
Organization SubpartNo
Authorized OfficialJohn WilsonExecutive Director · (405) 605-6353
Enumeration DateAugust 19, 2010
✔ NPI 1316253008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in OK · AL5534
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
817 SW 59TH ST, Oklahoma City, OK 73109
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2199052

Vao Service Provider, LLC · Oklahoma City, OK
Active · expires Nov 4, 2026
CLIA Number37D2199052
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorGary L. Shavers
Laboratory Phone(405) 605-6353
Laboratory LocationVao Service Provider, LLC817 S W 59th Street, Oklahoma City, OK 73109
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vao Service Provider LLC's NPI number?

The NPI number for Vao Service Provider LLC is 1316253008. It was assigned to this organization in the NPPES registry on August 19, 2010.

Where is Vao Service Provider LLC located?

Vao Service Provider LLC is located at 817 SW 59th St, Oklahoma City, OK 73109. The listed phone number is (405) 605-6353.

What is Vao Service Provider LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Vao Service Provider LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2199052) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vao Service Provider LLC was last updated on August 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.