| NPI | 1225579915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GATES President 918-543-5356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 25084) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2020-09-18 |