FAMILY AND GERIATRIC MEDICAL ASSOCIATES
NPI 1922136480
Nurse Practitioner - Family in Oklahoma City, OK
About Family And Geriatric Medical Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY AND GERIATRIC MEDICAL ASSOCIATES (NPI 1922136480) is a healthcare organization registered as a family in Oklahoma City, Oklahoma and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through March 3, 2028 and lists Susan B Grandle, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Group Practice 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D0471171
- Facility Type
- Physician Office
- Certificate Effective Date
- March 04, 2026
- Certificate Expiration Date
- March 03, 2028
- Laboratory Director
- SUSAN B. GRANDLE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Family And Geriatric Medical Associates in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
OKLAHOMA CITY, OK 73112
OKLAHOMA CITY, OK 73112
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922136480, enumerated as an "organization" on February 28, 2007.
The provider is located at 5622 N PORTLAND AVE #102 OKLAHOMA CITY, OK 73112 and the phone number is (405) 917-7590.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
