BLUEPRINT SIGNATURE SERVICES LLC
NPI 1376406850
Physiological Laboratory in Broken Arrow, OK

Active since December 03, 2025
112 W DELMAR ST., BROKEN ARROW, OK 74012(855) 395-0763(918) 895-0969 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blueprint Signature Services Llc NPPES

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

BLUEPRINT SIGNATURE SERVICES LLC (NPI 1376406850) is a healthcare organization registered as a physiological laboratory in Broken Arrow, Oklahoma and active in the NPI registry since December 2025. The organization lists Shakeia Lashae Gill, Owner, as its authorized official.

NPPES Registry Identity

NPI1376406850
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameBLUEPRINT SIGNATURE SERVICES LLC
Location Address112 W DELMAR ST.Broken Arrow, OK 74012
Mailing Address3171 S 129th East Ave Ste A-2082Tulsa, OK 74134-3205 · (855) 395-0763 · Fax (918) 895-0969
Fax(918) 895-0969
Organization SubpartNo
Authorized OfficialShakeia Lashae GillOwner · (918) 841-2359
Enumeration DateDecember 3, 2025
NPPES CertifiedNovember 20, 2025
NPI 1376406850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
112 W DELMAR ST., Broken Arrow, OK 74012

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 Blueprint Signature Services LLC's NPI number?

The NPI number for Blueprint Signature Services LLC is 1376406850. It was assigned to this organization in the NPPES registry on December 3, 2025.

Where is Blueprint Signature Services LLC located?

Blueprint Signature Services LLC is located at 112 W Delmar St., Broken Arrow, OK 74012. The listed phone number is (855) 395-0763.

What is Blueprint Signature Services LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Blueprint Signature Services LLC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.