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IDABEL CHILDREN'S CLINIC, INC.
NPI 1689985343
Clinic/Center - Primary Care in Idabel, OK

Active since June 28, 2010CLIA 37D1044356 · Waiver
1307 LYNN LN, IDABEL, OK 74745(580) 286-5437(580) 286-3955 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idabel Children's Clinic, Inc. NPPES

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

IDABEL CHILDREN'S CLINIC, INC. (NPI 1689985343) is a healthcare organization registered as a primary care in Idabel, Oklahoma and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Robert Dellino Leboeuf, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1689985343
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameIDABEL CHILDREN'S CLINIC, INC.
Location Address1307 LYNN LNIdabel, OK 74745-6845
Mailing Address1307 Lynn LnIdabel, OK 74745-6845 · (580) 286-5437 · Fax (580) 286-3955
Phone(580) 286-5437
Fax(580) 286-3955
Organization SubpartNo
Authorized OfficialRobert Dellino LeboeufOffice Manager · (580) 212-2697
Enumeration DateJune 28, 2010
Last NPPES UpdateJuly 28, 2010
✔ NPI 1689985343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in OK · 22507
1307 LYNN LN, Idabel, OK 74745
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH12755OK
Medicaid100187600BOK

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 Waiver 37D1044356

Idabel Childrens Clinic · Idabel, OK
Active · expires Aug 16, 2027
CLIA Number37D1044356
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorMary Bradley Leboeuf MD
Laboratory Phone(580) 286-5437
Laboratory LocationIdabel Childrens Clinic1307 S Lynn Lane, Idabel, OK 74745
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. MARY L. BRADLEY-LEBOEUF M.D.
Pediatrics
1307 LYNN LN
IDABEL, OK 74745
McCurtain County (580) 286-5437

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 Idabel Children's Clinic, Inc.'s NPI number?

The NPI number for Idabel Children's Clinic, Inc. is 1689985343. It was assigned to this organization in the NPPES registry on June 28, 2010.

Where is Idabel Children's Clinic, Inc. located?

Idabel Children's Clinic, Inc. is located at 1307 Lynn Ln, Idabel, OK 74745. The listed phone number is (580) 286-5437.

What is Idabel Children's Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Idabel Children's Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1044356) is associated with this NPI, valid through August 16, 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 Idabel Children's Clinic, Inc. was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.