NPI | 1124007026 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG D SHIMASAILI Chief Executive Officer 405-271-1723 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 37D1047365) |
Enumeration Date | 2006-01-10 |
Last Update Date | 2020-08-22 |