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Stateline Medical LLC

Clinical Medical Laboratory in Pocola, OK · enumerated 2018 · authorized official Shane Walker, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114421260

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Registry record

Entity type Organization (Type 2)
Legal business name Stateline Medical LLC
Practice address 105 N Pocola Blvd, Suite 2, Pocola, OK, 74902
Phone (479) 561-2448
Enumeration date Mar 22, 2018
Last updated in NPPES Mar 22, 2018

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Shane Walker
Title Owner
Phone (479) 561-2448

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Stateline Medical LLC located?
The practice location on file with NPPES is in Pocola, OK.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-03-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-22.