| NPI | 1003908526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN LOUCKS Owner 580-233-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 37D0472553) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-02-02 |