| NPI | 1255517348 |
|---|---|
| Other Name | OWASSO OKLAHOMA |
| Entity Type | Organization |
| Authorized Contact | LEO SELL Controller 405-608-6298 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 37D1059452) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2018-12-11 |