STATELINE MEDICAL LLC

POCOLA, OK
NPI1114421260
Entity TypeOrganization
Authorized ContactSHANE WALKER
Owner
479-561-2448
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2018-03-22
Last Update Date2018-03-22
Business Address
STATELINE MEDICAL LLC
105 N POCOLA BLVD SUITE 2
POCOLA, OK 74902-3101
Phone number: 479-561-2448
Mailing Address
STATELINE MEDICAL LLC
105 N POCOLA BLVD SUITE 2
POCOLA, OK 74902-3101
Phone number: 479-561-2448
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STATELINE MEDICAL LAB LLC