Blueprint Signature Services LLC
NPI 1376406850ActiveOrganization· Physiological Laboratory· Broken Arrow, OK
Physiological Laboratory in Broken Arrow, Oklahoma, registered in NPPES in December 2025. The authorized official on file is Shakeia Lashae Gill, Owner.
Overview
| NPI | 1376406850 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 3, 2025 |
| Last updated in NPPES | Dec 3, 2025 |
| Certified by provider | Nov 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physiological Laboratory providers in Broken Arrow
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