| NPI | 1265701676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAN A BERTONE Owner / Clinical Director 918-519-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK CLIA 37D0921553) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |