| NPI | 1124468848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA G HENDRICKSON Business Office Director 918-925-3248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2021-11-18 |