| NPI | 1013356211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG D SHIMASAKI CEO 405-239-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 37D2052130) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2014-10-06 |