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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

State of Oklahoma

Clinical Medical Laboratory in Tulsa, OK · enumerated 2014 · authorized official Jarrad Wagner, Associate Professor & Director.

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

National Provider Identifier

1447662010

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Registry record

Entity type Organization (Type 2)
Legal business name State of Oklahoma
Other name <Unavail>
Practice address 1111 W 17th St, Tulsa, OK, 74107
Phone (918) 561-1421
Enumeration date May 29, 2014
Last updated in NPPES Aug 31, 2017

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories · License 37D2076904 (OK) Primary

Authorized official

Name Jarrad Wagner
Title Associate Professor & Director
Phone (918) 561-8247

Other identifiers

Identifier Type State Issuer
200217940K Medicaid OK -

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is State of Oklahoma?
State of Oklahoma is registered in NPPES as a Clinical Medical Laboratory (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-08-31.