| NPI | 1285057455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO SELL Controller 405-608-6298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 37D2068295) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2018-12-11 |