GRADY MEMORIAL HOSPITAL
NPI 1669558789
Clinical Medical Laboratory in Chickasha, OK

Active since October 31, 2006
2100 W IOWA AVE, CHICKASHA, OK 73018(405) 224-2100(405) 779-2346 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grady Memorial Hospital NPPES

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

GRADY MEMORIAL HOSPITAL (NPI 1669558789), doing business as Fomg Clinical Medical Laboratory, is a healthcare organization registered as a clinical medical laboratory in Chickasha, Oklahoma and active in the NPI registry since October 2006. The organization lists Steve Pautler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669558789
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameGRADY MEMORIAL HOSPITAL
Location Address2100 W IOWA AVEChickasha, OK 73018-2736
Mailing Address2100 W Iowa AveChickasha, OK 73018-2736 · (405) 224-2100 · Fax (405) 779-2346
Fax(405) 779-2346
Organization SubpartNo
Authorized OfficialSteve PautlerCeo · (405) 779-2150
Enumeration DateOctober 31, 2006
Last NPPES UpdateJanuary 6, 2026
NPPES CertifiedJanuary 6, 2026
NPI 1669558789 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.

2100 W IOWA AVE, Chickasha, OK 73018

Other Names 1

Doing Business AsFomg Clinical Medical Laboratory

Other Identifiers 1

Medicaid100700820HOK

Other Providers at the Same Location NPPES 20

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

Family Medicine
2100 W IOWA AVE, SUITE A
CHICKASHA, OK 73018
Clinic/Center (Rural Health)
2100 W IOWA AVE, SUITE A
CHICKASHA, OK 73018
Surgery
2100 W IOWA AVE
CHICKASHA, OK 73018
Nurse Practitioner (Family)
2100 W IOWA AVE, SUITE A
CHICKASHA, OK 73018
Podiatrist
2100 W IOWA AVE
CHICKASHA, OK 73018
Physician Assistant
2100 W IOWA AVE
CHICKASHA, OK 73018
Physician Assistant
2100 W IOWA AVE
CHICKASHA, OK 73018
Internal Medicine
2100 W IOWA AVE
CHICKASHA, OK 73018

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 Grady Memorial Hospital's NPI number?

The NPI number for Grady Memorial Hospital is 1669558789. It was assigned to this organization in the NPPES registry on October 31, 2006. The provider is doing business as FOMG Clinical Medical Laboratory.

Where is Grady Memorial Hospital located?

Grady Memorial Hospital is located at 2100 W Iowa Ave, Chickasha, OK 73018. The listed phone number is (405) 224-2100.

What is Grady Memorial Hospital'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 Grady Memorial Hospital was last updated on January 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.