CMS-1500 Box 24J / 33a • NPI
1790307395
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
291U00000X (CMS 69)
CLIA-Certified Diagnostic Medical & Pathology Laboratory
Box 32 Service Location & ZIP+4
8551 N 125TH EAST AVE STE 150, OWASSO, OK, 74055-2110
✓ 9-Digit EDI 837 ZIP+4 (74055-2110)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1790307395 (ARC DIAGNOSTICS, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1790307395)
Medicare Beneficiaries
595
Total Billed Services
14,096
Distinct CPT/HCPCS Codes
11
Medicare Allowed Total
$493,629.86
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
87481 | Detection test for candida species (yeast), amplified probe technique | 837 |
87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 438 |
87505 | Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 3-5 targets | 16 |
87631 | Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets | 51 |
87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 146 |
87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 405 |
87641 | Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique | 438 |
87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 836 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1790307395 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ARC DIAGNOSTICS, LLC |
| Plain-English Specialty | CLIA-Certified Diagnostic Medical & Pathology Laboratory NUCC Code: 291U00000X (Clinical Medical Laboratory) |
| Certifying / Licensing Body | CMS CLIA / College of American Pathologists (CAP) |
| Practice Location Address | 8551 N 125TH EAST AVE STE 150, OWASSO, OK, 74055-2110 |
| Practice Telephone / Fax | Tel: (833) 272-5227 |
| Administrative Mailing Address | 7220 E 41ST ST, TULSA, OK, 74145-4504 |
| Enumeration & Last Sync | Enumerated: 2020-05-18 | CMS Record Updated: 2020-10-09 |
| Authorized Official | WILLIAM MORRIS (Co-Owner) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (291U00000X)
What Does Taxonomy Code 291U00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 291U00000X translates to:
"CLIA-Certified Diagnostic Medical & Pathology Laboratory"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ARC DIAGNOSTICS, LLC)
Typical CPT / Diagnostic Procedures:- Complete Blood Count (CBC) with Automated Differential (CPT 85025)
- Comprehensive Metabolic Panel (CMP), Fractionated Bilirubin & Hepatic Panel
- Quantitative Urine Culture & Colony Count (≥ 10⁵ CFU/mL) with Antibiotic Susceptibility
- HbA1c, Lipid Panel, TSH & High-Sensitivity Troponin Assays
- Diagnostic Reagent Panels & CLSI Antimicrobial Susceptibility Disks/MIC Cards
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
291U00000X — Clinical Medical LaboratoryPlain English: CLIA-Certified Diagnostic Medical & Pathology Laboratory | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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