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Stateline Medical Lab Llc

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NPI Number Detailed Information

Provider Information:

Name: Stateline Medical Lab Llc
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1487275699
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 4/28/2020

Last Update Date: 4/28/2020

Provider Business Mailing Address:

Address: 105 N POCOLA BLVD STE 2
Pocola, OK 74902
Phone Number: 9184365001
Fax Number:

Provider Business Practice Location Address:

Address: 105 N POCOLA BLVD STE 2
Pocola, OK 74902
Phone Number: 9184365001
Fax Number:

Provider Taxonomy:

Primary: 291U00000X
Secondary (if any):
State: OK

Top Doctors in OK

 

About Stateline Medical Lab Llc

Stateline Medical Lab Llc ( STATELINE MEDICAL LAB LLC ) is (1) Clinical Medical Laboratory Provider in Pocola, OK. The NPI Number for Stateline Medical Lab Llc is 1487275699.
The current location address for Stateline Medical Lab Llc is 105 N POCOLA BLVD STE 2 Pocola, OK 74902 and the contact number is 9184365001 and fax number is . The mailing address for Stateline Medical Lab Llc is 105 N POCOLA BLVD STE 2 Pocola, OK 74902- 9184365001 (mailing address contact number - 9184365001).
(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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Stateline Medical Lab Llc ?


Answer: The NPI Number for Stateline Medical Lab Llc is 1487275699

Where is Stateline Medical Lab Llc located?


Answer: Stateline Medical Lab Llc is located at 105 N POCOLA BLVD STE 2 Pocola, OK 74902.

What is the specialty for Stateline Medical Lab Llc ?


Answer: The Specialty of Stateline Medical Lab Llc is (1) Clinical Medical Laboratory Provider.

Are there any online reviews for Stateline Medical Lab Llc ?


Answer: Not yet!

Are there any other health care providers in Pocola, OK?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Stateline Medical Lab Llc

Number of HCPCS 3
Number of Medicare Beneficiaries 169
Number of Services 1649
Total Submitted Charge Amount 353450
Total Medicare Allowed Amount 205994.7
Total Medicare Payment Amount 205994.7
Total Medicare Standardized Payment Amount 201883.22
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 3
Number of Medicare Beneficiaries With Medical 169
Number of Medical Services 1649
Total Medical Submitted Charge Amount 353450
Total Medical Medicare Allowed Amount 205994.7
Total Medical Medicare Payment Amount 205994.7
Total Medical Medicare Standardized Payment Amount 201883.22
Average Age of Beneficiaries 64
Number of Beneficiaries Age Less 65 77
Number of Beneficiaries Age 65 to 74 64
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 93
Number of Male Beneficiaries 76
Number of Non-Hispanic White Beneficiaries 141
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 99
Number of Beneficiaries With Medicare Only Entitlement 70
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.07
Percent (%) of Beneficiaries Identified With Asthma 0.07
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.24
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.34
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.46
Percent (%) of Beneficiaries Identified With Depression 0.35
Percent (%) of Beneficiaries Identified With Diabetes 0.35
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.41
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.37
Percent (%) of Beneficiaries Identified With Osteoporosis 0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.49
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.3929

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Dr. Shane Thomas Walker
Chiropractor
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Address: 1406 N POCOLA BLVD Pocola, OK 74902 , Phone: 9184367979
Kal Home Health Inc
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NPI Number: 1023362779
Address: 302 N POCOLA BLVD Pocola, OK 74902 , Phone: 9184366179
Lena Faye Buckner
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Address: 503 N POCOLA BLVD Pocola, OK 74902 , Phone: 4796293596
Amanda Combs
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NPI Number: 1053787283
Address: 202 BEAM LN Pocola, OK 74902 , Phone: 4799260332
Ashlyn Beasley
Case Manager/Care Coordinator
NPI Number: 1477009611
Address: 504 MORRIS ST Pocola, OK 74902 , Phone: 4792183054
Stateline Medical Llc
Clinical Medical Laboratory
NPI Number: 1114421260
Address: 105 N POCOLA BLVD SUITE 2 Pocola, OK 74902 , Phone: 4795612448
Tahlina Weir
Addiction (Substance Use Disorder) Counselor
NPI Number: 1467094524
Address: 205 COTTONWOOD Pocola, OK 74902 , Phone: 9185710414
Stateline Medical Lab Llc
Clinical Medical Laboratory
NPI Number: 1487275699
Address: 105 N POCOLA BLVD STE 2 Pocola, OK 74902 , Phone: 9184365001
Pocola Family Clinic
Family Nurse Practitioner
NPI Number: 1952070013
Address: 503 N POCOLA BLVD Pocola, OK 74902 , Phone: 5392452062
Traci Stewart
Primary Care Nurse Practitioner
NPI Number: 1770236721
Address: 106 HOWARD ST Pocola, OK 74902 , Phone: 9185642217
Hope E Bray
Massage Therapist
NPI Number: 1265166086
Address: 4105 S POCOLA BLVD Pocola, OK 74902 , Phone: 4799267127

Stateline Medical Lab Llc in Other Directories

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