Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

XYZ MEDICAL LLC
NPI 1457769473
Clinical Medical Laboratory in Coalgate, OK

Q: What is Xyz Medical LLC's NPI number?

The NPI number for Xyz Medical LLC is 1457769473. It was assigned to this organization in the NPPES registry on July 23, 2014.

Q: What is Xyz Medical LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Xyz Medical LLC was last updated on July 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.

Active since July 23, 2014CLIA 37D2082356 · Certificate of Compliance

104 W OHIO AVE STE 200, COALGATE, OK 74538(918) 423-7191 Get Directions Write a Review

NPPES record last updated: July 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2026, Oct 23, 2019, May 28, 2019 (3 updates tracked since 2019).

On this page

About Xyz Medical Llc NPPES

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

XYZ MEDICAL LLC (NPI 1457769473) is a healthcare organization registered as a clinical medical laboratory in Coalgate, Oklahoma and active in the NPI registry since July 2014. The organization holds a CLIA Certificate of Compliance certificate valid through April 18, 2027 and lists Wendy Jimenez, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1457769473

Entity TypeOrganization

Primary Taxonomy291U00000X

Legal Business NameXYZ MEDICAL LLC

Location Address104 W OHIO AVE STE 200Coalgate, OK 74538-2827

Mailing Address104 W Ohio Ave Ste 200Coalgate, OK 74538-2827 · (929) 368-9569

Phone(918) 423-7191

Organization SubpartNo

Authorized OfficialWendy JimenezAuthorized Official · (929) 368-9569

Enumeration DateJuly 23, 2014

Last NPPES UpdateJuly 25, 20263 updates tracked since enumeration

NPPES CertifiedJuly 25, 2026

✔ NPI 1457769473 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.

104 W OHIO AVE STE 200, Coalgate, OK 74538

Open in Google Maps ↗

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 Compliance 37D2082356

Xyz Medical, LLC · Coalgate, OK

Active · expires Apr 18, 2027

CLIA Number37D2082356

Laboratory TypeIndependent

Certificate Effective DateApril 19, 2025

Certificate Expiration DateApril 18, 2027

Laboratory DirectorSharma Rahul

Laboratory Phone(580) 258-2026

Laboratory LocationXyz Medical, LLC104 W Ohio St, Ste 200, Coalgate, OK 74538

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by nucleic acid for organism, amplified probe technique 87798

A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.

841 services72 patients

Detection test by nucleic acid for multiple organisms, amplified probe(s) technique 87801

This is a test that identifies various microorganisms in your body using a method called amplified probe technique. It targets specific genetic material (nucleic acids) of the organisms, amplifying them for easy detection. This helps in diagnosing infections accurately.

182 services70 patients

Detection test for candida species (yeast), amplified probe technique 87481

This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.

96 services72 patients

Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique 87500

The detection test by nucleic acid for vancomycin-resistant strep (VRE) is a laboratory procedure. It uses an amplified probe technique to identify specific genetic material in bacteria. This helps determine if the bacteria are resistant to the antibiotic vancomycin.

94 services73 patients

Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique 87641

A detection test by nucleic acid for MRSA bacteria uses an amplified probe technique. It's a lab procedure that identifies the presence of MRSA, a type of bacteria resistant to many antibiotics. This test helps in deciding the best treatment.

94 services73 patients

Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651

This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.

93 services72 patients

Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique 87653

A detection test by nucleic acid for Group B Strep uses an amplified probe technique. This test identifies the presence of Group B Strep bacteria in the body. It involves collecting a sample, usually a swab, which is then examined in a lab for the bacteria's genetic material.

93 services72 patients

Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique 87640

A detection test for Staphylococcus aureus uses a method called the amplified probe technique. This method identifies the bacteria's unique genetic material, or nucleic acid, helping to confirm its presence. It's a highly accurate way to detect this type of bacteria.

92 services71 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480

A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.

85 services62 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

60 services53 patients

Detection test for gardnerella vaginalis (bacteria), amplified probe technique 87511

This test helps find a specific type of bacteria in the body. It uses a method called the amplified probe technique, which amplifies the bacteria's genetic material, making it easier to detect. It's a standard, pain-free procedure.

60 services50 patients

A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.

35 services25 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

21 services19 patients

Magnesium level 83735

A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.

15 services14 patients

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 Xyz Medical LLC's NPI number?

The NPI number for Xyz Medical LLC is 1457769473. It was assigned to this organization in the NPPES registry on July 23, 2014.

Where is Xyz Medical LLC located?

Xyz Medical LLC is located at 104 W Ohio Ave Ste 200, Coalgate, OK 74538. The listed phone number is (918) 423-7191.

What is Xyz Medical LLC's specialty?

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

Does Xyz Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 37D2082356) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Xyz Medical LLC was last updated on July 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.