STATELINE MEDICAL LAB LLC
NPI 1487275699
Clinical Medical Laboratory in Pocola, OK

Active since April 28, 2020
105 N POCOLA BLVD STE 2, POCOLA, OK 74902(918) 436-5001 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stateline Medical Lab Llc NPPES

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

STATELINE MEDICAL LAB LLC (NPI 1487275699) is a healthcare organization registered as a clinical medical laboratory in Pocola, Oklahoma and active in the NPI registry since April 2020. The organization lists Christopher Dooly, Owner, as its authorized official.

NPPES Registry Identity

NPI1487275699
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSTATELINE MEDICAL LAB LLC
Location Address105 N POCOLA BLVD STE 2Pocola, OK 74902-3101
Mailing Address105 N Pocola Blvd Ste 2Pocola, OK 74902-3101 · (918) 436-5001
Organization SubpartNo
Authorized OfficialChristopher DoolyOwner · (479) 414-5680
Enumeration DateApril 28, 2020
NPPES CertifiedApril 28, 2020
NPI 1487275699 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.
105 N POCOLA BLVD STE 2, Pocola, OK 74902

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 Stateline Medical Lab LLC's NPI number?

The NPI number for Stateline Medical Lab LLC is 1487275699. It was assigned to this organization in the NPPES registry on April 28, 2020.

Where is Stateline Medical Lab LLC located?

Stateline Medical Lab LLC is located at 105 N Pocola Blvd Ste 2, Pocola, OK 74902. The listed phone number is (918) 436-5001.

What is Stateline Medical Lab LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Stateline Medical Lab LLC was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.