DPS – Clinical Medical Laboratory, NPI 1851363253
Clinical Medical Laboratory
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DPS
5501 N Portland Ave
Oklahoma City, OK 731122074
Phone: (405) 604-6105
Type: Location
4801 Integris Pkwy
Edmond, OK 730348864
Phone: (405) 842-2061
Type: Location
4401 S Western Ave
Oklahoma City, OK 731093413
Phone: (405) 636-7251
Type: Location
3300 NW Expressway
Oklahoma City, OK 731124418
Phone: (405) 842-2061
Type: Location
14275, Midway Road, Addison, Dallas County, Texas, 75001, United States
SUITE 400
ADDISON, TX 750013614
Phone:
Fax: (610) 271-4245
Type: Mailing
Diagnostic Laboratory of Oklahoma, 225, Northeast 97th Street, Oklahoma City, Oklahoma County, Oklahoma, 73114, United States
SUITE 600
OKLAHOMA CITY, OK 731146302
Phone: (405) 842-2061
Fax: (405) 842-3146
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (223 days ago).
Enrollment records
1
Earliest due date
2025-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20041104000803 | O | Independent Clinical Laboratory | OK | 2025-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 6,710 | 3,512 | $0 |
| 88350 | Antibody evaluation, each additional single antibody stain procedure | 1,454 | 157 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 1,104 | 257 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 755 | 468 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 718 | 555 | $0 |
Insurance plans in this area (ZIP 73112)
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