| NPI | 1083922207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE L BRACKEN Billing/Credentialing 918-967-4560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 37D1039335) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |