PONYA DIAGNOSTICS OF OKLAHOMA LLC
NPI 1417816935
Clinical Medical Laboratory in Tulsa, OK

Active since January 20, 2026CLIA Certified · 2 labs
6312 E 101ST ST, TULSA, OK 74137(229) 442-7210 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ponya Diagnostics Of Oklahoma Llc NPPES

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

PONYA DIAGNOSTICS OF OKLAHOMA LLC (NPI 1417816935) is a healthcare organization registered as a clinical medical laboratory in Tulsa, Oklahoma and active in the NPI registry since January 2026. The organization holds 2 active CLIA laboratory certificates and lists Mekonnen Abebe, Owner, as its authorized official.

NPPES Registry Identity

NPI1417816935
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePONYA DIAGNOSTICS OF OKLAHOMA LLC
Location Address6312 E 101ST STTulsa, OK 74137-7007
Mailing Address13 Corporate Blvd Ne Ste 250Brookhaven, GA 30329-1901 · (229) 442-7210 · Fax (404) 759-2019
Organization SubpartNo
Authorized OfficialMekonnen AbebeOwner · (229) 442-7210
Enumeration DateJanuary 20, 2026
Last NPPES UpdateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
NPI 1417816935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
6312 E 101ST ST, Tulsa, OK 74137

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 37D2334612

Ponya Diagnostics Of Oklahoma, LLC · Tulsa, OK
Active · expires Nov 24, 2027
CLIA Number37D2334612
Laboratory TypeIndependent
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorJaun B. Rosario
Laboratory Phone(229) 442-7210
Laboratory LocationPonya Diagnostics Of Oklahoma, LLC6312 E 101st St, Tulsa, OK 74137
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 11D2303652

Ponya Diagnostics, LLC · Brookhaven, GA
Active · expires Dec 8, 2027
CLIA Number11D2303652
Laboratory TypeIndependent
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorDr. Bernadette M. Wildemore
Laboratory Phone(229) 442-7210
Laboratory LocationPonya Diagnostics, LLC13 Corporate Boulevard, NE, Suite 100, Brookhaven, GA 30329
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
6312 E 101ST ST
TULSA, OK 74137
Hospice Care, Community Based
6312 E 101ST ST
TULSA, OK 74137
Clinical Medical Laboratory
6312 E 101ST ST
TULSA, OK 74137
Home Health
6312 E 101ST ST
TULSA, OK 74137
Clinical Medical Laboratory
6312 E 101ST ST
TULSA, OK 74137

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 Ponya Diagnostics Of Oklahoma LLC's NPI number?

The NPI number for Ponya Diagnostics Of Oklahoma LLC is 1417816935. It was assigned to this organization in the NPPES registry on January 20, 2026.

Where is Ponya Diagnostics Of Oklahoma LLC located?

Ponya Diagnostics Of Oklahoma LLC is located at 6312 E 101st St, Tulsa, OK 74137. The listed phone number is (229) 442-7210.

What is Ponya Diagnostics Of Oklahoma LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Ponya Diagnostics Of Oklahoma LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ponya Diagnostics Of Oklahoma LLC was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.