Organization · Type 2 NPI

Blueprint Signature Services LLC

Physiological Laboratory · Broken Arrow, OK

NPI number 1376406850 Active

Practice location

112 W Delmar St.
Broken Arrow, OK 74012

Fax (918) 895-0969

Mailing address

3171 S 129th East Ave Ste A-2082
Tulsa, OK 74134-3205

Specialties and licenses

TaxonomyCodeLicense
Physiological Laboratory Primary 293D00000XNone listed

Physiological Laboratory: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical labora…

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About NPI 1376406850

Blueprint Signature Services LLC's National Provider Identifier is 1376406850, issued on Dec 3, 2025. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Dec 3, 2025.